Abstract
The author has simplified the Blom-Singer1 puncture. The fistula is formed with the help of his new device, the endo-extralaryngeal needle carrier and pointed metal cone fixed to a catheter. The voice prosthesis is placed in the fistula formed thus in an endo-extra oesophagotracheal way. The advantage of the method is, that when the fistula being formed from inside out, the back wall of the oesophagus will not become injured.
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