Fig. 2
From: How I do it: modified Lichtenberger-Brown tracheoesophageal puncture procedure
The intervention can be carried with both Kleinsasser type surgical laryngoscope (top) or intubational laryngoscope of the Macintosh type (bottom). The tip of the endo-extralaryngeal needle carrier is positioned by digital palpation through the stoma. The puncture is performed with scalpel blade 11