Tracheoesophageal puncture. a hole is made between the trachea and esophagus and a valve is inserted into the hole. The person breathes air into the lungs and then covers the hole in the throat. During exhalation,the esophagus vibrates and creates speech

excelt question!

Still searching myself.

Tracheoesophageal fistulas are not preventable birth defects.

It's a birth defect in which there is an abnormal connection between the esophagus and the trachea. There may be an extra connection between the esophagus and the trachea or the esophagus may be a blind tube.

Puncture to the finger tips