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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 – the subject matter will be thoroughly illustrated.

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.

The course fee is USD 195 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 a future date, 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 instructor cancels the course 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 Dates

"This program is on hold at this time"

March 13–14, 2020 CANCELED
May 1–2, 2020 CANCELED
July 10–11, 2020 CANCELED
August 28–29, 2020 CANCELED
October 9–10, 2020 CANCELED
December 4–5, 2020 CANCELED

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. Due to limited course space, licensed clinicians may have enrollment priority.

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

US Registration   International Registration

ASHA Continuing Education logo

This course is offered for 1.05 ASHA CEUs
(Introductory, Professional Area)

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 Representatives

The following persons serve as patient representative as part of the course training process and will receive a stipend for their participation.

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.

Melanie Griggs

Melanie Griggs

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

Ron Elliott

Ron Elliott

Bio: Ron is a retired firefighter from the Indianapolis Fire Department. He was diagnosed with vocal cord cancer in 1996 and was treated by radiation at first followed by surgery six months later. In 2014, he had his laryngectomy because of the recurrence of his cancer and has been cancer-free since. Ron enjoys spending time with his family and is also a fan of the NASCAR, IndyCar, Indianapolis Colts, and Indiana Pacers.


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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