Gazzini L, Laura E, Molteni G, et al. - In this article, researchers presented an alternative technique to the traditional secondary tracheoesophageal puncture (TEP) for voice rehabilitation after total laryngectomy. The procedure is described step-by-step, analyzing the complications and long-term results. They assessed 32 patients who underwent secondary TEP with the blind technique using a rigid hysterometer. They identified risk factors that could hinder rigid esophagoscopy in all but one case (37.5% neopharyngeal/esophageal post-surgical issues, 81.3% prior radiotherapy, 21.9% cervical arthrosis, and 12.5% prior coloplasty or gastric transposition). For patients with unfavorable anatomical or clinical conditions, they identified the blind technique as an alternative approach to conduct a secondary TEP safely and efficiently, reducing the risk of procedure-related complications.