NEW YORK — Film critic Roger Ebert lost his ability to speak nearly four years ago, when he underwent a tracheostomy, a procedure that opens an airway through an incision in the windpipe, after surgery for cancer in his jaw.

In an interview in the new issue of Esquire magazine, the 67-year-old film critic for the Chicago Sun-Times uses pen and paper and text-to-speech computer software to communicate. He’s developed a kind of rudimentary sign language, and he sometimes draws letters with his finger on the palm of his hand.

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