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The phrase "then how" is correct and usable in written English.
You can use it when you are wanting to ask a question after having just made a statement. For example: "The children had misbehaved so I put them in timeout. Then how do I get them to learn their lesson?".
Exact(59)
If yes, then how?
O.K., then, how about this?
But then, how typical.
Well then, how are your reflexes?
Then — how convenient! — the investigations went away.
But then how do you trace errors?
Then how should the birth be still?
O.K., then, how to score WOW-ness?
But then how do you keep them?
And then how did things progress?
Similar(1)
Go on, then, how much?
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Since I tried Ludwig back in 2017, I have been constantly using it in both editing and translation. Ever since, I suggest it to my translators at ProSciEditing.

Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com