There are six cranial nerves that affect speech: They are the trigeminal, facial, glossppharyngeal, vagus and hypoglossal nerves. At least one of mine is damaged.
I start speech therapy May 24th with Dr. Ramage. Sometime in May (I hope), I will also see Dr. Shoja, a psychiatrist with a specialty in speech disorders. Dr. Shoja will identify which nerves/nerve branches are damaged so that Dr. Ramage can prescribe the right therapies.
I can speak French easily with those who understand it. I can speak as Rand (Rand being the name I give my fake South African accent voice) but I loathe "speaking Rand" and don't feel I need to for the convenience of others.
I can speak in my own voice, easily and without damaging my larynx, if I "speak Tonto." Tonto's most famous line was: "White man speak with forked tongue." I say: "White man speak forked tongue." I cannot say "with" in that sentence but my friends totally understand me. I really like having my voice back and feel EXCEPTIONALLY good "speaking Tonto."
(My adopted father, Don Tyrell, was a friend for a brief time with Jay Silverheels, the actor who played Tonto on television.)