Several laryngectomy patients have learnt to speak using speaking aids.
You will find more information about this in the posts in the Laryngectomee Forum.
If you are unable to swallow, you will have to adjust to your new 'normal'. Many patients have successfully fed through a 'PEG'. You might find Ananth's Story
inspiring as he fed through a 'PEG' for eight years.
Best wishes for the New year,