[Doug is a 45 year old man who has smoked and drunk alcohol since he was a teenager. He now has laryngeal cancer, and before surgery, the surgeon asks you to talk with Doug about esophageal speech. You explain there are two methods. One, the patient is taught to keep the esophagus open and relaxed while inhaling rapidly. In the other, the patient impounds the air in the oral cavity, pushes it back into the esophagus, and vibrates the cricopharyngeus muscle. The second method is called:]
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