Tracheoesophageal puncture (TEP) is a medical procedure used to create a small opening between the trachea and the esophagus. This technique is often performed on individuals who have lost their ability to speak due to conditions like laryngectomy or throat cancer. The opening allows for the insertion of a prosthesis that enables patients to produce sound when they speak. During the procedure, a healthcare professional carefully punctures the wall between the two structures. A voice prosthesis is then placed in the puncture, allowing air from the trachea to flow into the esophagus, which can be used to create voice sounds. TEP can significantly improve communication for those affected.