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  Indian J Med Microbiol
 

Figure 4 Tracheoesophageal puncture and prosthesis. A fistula is created between the posterior wall of the trachea and the anterior wall of the esophagus. The patient occludes the tracheostoma with a finger, and the air is diverted into the esophagus and pharynx to create sound.

Figure 4 Tracheoesophageal puncture and prosthesis. A fistula is created between the posterior wall of the trachea and the anterior wall of the esophagus. The patient occludes the tracheostoma with a finger, and the air is diverted into the esophagus and pharynx to create sound.