We were discussing radical laryngectomies today and the off-the-wall procedures surgeons have invented to compensate for the loss of the vocal cords. One procedure involved pulling the stomach upward in order to use the stomach wall as a pseudo-voice box. Another required the importing of sphincteric muscles from another part of the body. We just couldn't help ourselves:
"Gives new meaning to the phrase 'talking out your butt.'"
"Yeah, I bet the voice quality is pretty crappy."