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Tracheoesophageal Puncture and Prosthesis for
Post-Laryngectomy Voice Restoration

Learn the fundamentals of post-laryngectomy voice restoration that enable laryngectomees to speak again.

In 1978, Drs. Blom and Singer pioneered the method of tracheoesophageal puncture and valved silicone voice prosthesis that for 40 years, has become the international standard for voice restoration following total laryngectomy.

Course Description

This 1.5 day clinically-oriented course will focus on all aspects of tracheoesophageal puncture and prosthesis for post-laryngectomy voice restoration.

Course Learning Objectives

1. Pre-operative selection criteria and assessment methods. The learner will describe pre-operative surgical considerations and TE speech assessment methods.early

2. Surgical techniques: The learner will describe surgical techniques related to TE puncture.

3. Prosthesis fitting and management: The learner will demonstrate hands-on TE fitting and placement competency – live demonstrations.

4. Approaches to assessing and solving post-operative difficulties: The learner will demonstrate and describe the assessment and management of Post-operative TE complications – subject matter will be thoroughly illustrated.

In order to be eligible for ASHA continuing education credits, the participant will be expected to participate in an assessment of the learning objectives via demonstration or self assessment tool.

Course Information

All courses are on Friday and Saturday. Attendance is required for full course if continuing education credit is to be awarded; no partial credit will be issued.

Course fee is $195 USD which includes: instruction, materials and breaks. Registration can be completed by clicking the appropriate link below with a non-refundable course fee due at time of registration. If the registered attendee is unable to attend, credit may be applied to future dates, pending availability and if arrangements are in place no less than 10 days before the original course date. Please contact for information or to make arrangements. No refund will be issued if the attendee fails to complete the course either in full or in part. If the course is canceled by the instructor for any reason, the course fee will be refunded or credit toward future courses will be provided.

Note: The course fee is waived for participants traveling from countries other than USA and Canada please contact for registration information.

Course Location

Center for Ears, Nose, Throat and Allergy
12188A N. Meridian Street, Suite 375
Carmel, IN 46032
Tel: (317) 926-1056
Fax: (317) 579-0476

Recommended Lodging

Renaissance Indianapolis North (website)
11925 North Meridian St.
Carmel, IN 46032
Tel: 317-816-0777
(For discounted room rates, mention Freudenberg Medical )

Course registration is limited to 12 participants.


Please click on the appropriate link to begin the registration process:

US Registration   International Registration

ASHA Continuing Education logo

This course is offered for 1.0 ASHA CEUs
(Introductory, Professional Area)

2019 Blom TEP Course Brochure (PDF)

Course Instructors

Byron Kubik M.S.

Byron Kubik M.S.

Byron Kubik is a Speech Language Pathologist who works together with Eric Blom, Ph.D. at CENTA the Center for Ear, Nose, Throat & Allergy in Carmel, IN. Byron previously worked for many years at the University of North Carolina specializing in Post-Laryngectomy Voice Restoration.

Financial: Mr. Kubik receives a speakers fee for his participation in this course.
Non-financial: Mr. Kubik has no non-financial relationships to disclose.

Eric D. Blom, Ph.D.

Eric D. Blom, Ph.D.

Dr. Blom is the co-inventor of the Blom-Singer voice prosthesis that has enabled thousands of people worldwide who have lost their voices because of cancer to have speech restored. As a speech therapist, he has dedicated much of his professional life to the development of voice prostheses and techniques that have made tracheoesophageal voice restoration the preferred method of acquiring speech after laryngectomy. Dr. Blom's personal experience of fitting thousands of patients with voice prostheses has given him the knowledge and skill to enable patients to quickly regain their voices after laryngectomy.

Financial: Eric D. Blom, Ph.D. receives no financial compensation as a consultant from InHealth Technologies.
Non-financial: Dr. Blom has no non-financial relationships to disclose.

Laryngectomee Faculty

Marianne Wright

Marianne Wright

Bio: Marianne embodies the survivor's spirit. Her joy rests in her faith and family. As a teacher she was known for her voice. After her total laryngectomy, Marianne is thrilled to use her new voice to help teach and train professionals in this course.

Financial: Ms. Wright receives an honorarium for her participation in this program
Non-financial: Ms. Wright has no non-financial relationships to disclose.

Melanie Griggs

Melanie Griggs

Bio: Melanie had her laryngectomy in 2003. She has been helping with this course for several years.

Financial: Ms. Griggs receives an honorarium for her participation in this program.
Non-financial: Ms. Griggs has no non-financial relationships to disclose.

William Gayle

William Gayle

Bio: William thinks of himself as a people helper. He enjoys assisting with the course to reach out to others.

Financial: Mr. Gayle receives an honorarium for his participation in this program
Non-financial: Mr. Gayle has no non-financial relationships to disclose.


Course Schedule Day 1 – Friday

8:15 Registration
8:30 Historical Perspective
9:00 Patient Selection Considerations
10:00 Break
10:15 Tracheoesophageal Puncture
10:45 Management of Pharyngeal Constrictor Muscle Tonicity
11:15 Laryngectomy with Primary Voice Restoration
11:45 Questions and Discussion
12:00 Lunch (on your own)
1:30 Voice Prosthesis and Fitting and Management
2:15 Tracheostoma Valve Fitting and Management
3:00 Break
3:15 Troubleshooting: Problems and Solutions
4:30 Adjourn

Course Schedule Day 2 – Saturday

7:45 Clinical Practice Sessions with Patients
11:30 Adjourn

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