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The author has simplified the Blom-Singer(1) 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.

New and Simple Endo-extra Oesophagotracheal Method of Developing the Fistula for the Implantation of a Voice Prosthesis