Indian Journal of Otolaryngology

, Volume 38, Issue 2, pp 64–66 | Cite as

A new operation for construction of a neo-larynx

  • P. Ghosh


A new operation for constructing a neo-larynx has been devised using the upper parts of the trachea and oesophagus without using any extraneous inert material, following total laryngectomy. A full-thickness tongue-shape flap is raised from the posterior tracheal wall and is passed through a transverse slit in the anterior oesophageal wall into the oesophageal lumen. The newly created transverse cleft between the antero-inferior mucosa-lined surface of the tracheal flap above and inferior margin of the oesophageal slit with the incorporated cartilage bar below acts as the neo-glottis’. Because of the presence of mucosa on the free margins of the lips of the ‘neo-glottis’, chances of stenosis of the neo-glottis’ is minimised. The tracheal flap acts as the neo-epiglottis’.


Total Laryngectomy Tracheostomy Tube Radical Neck Dissection Mucosal Flap Chromic Catgut 


Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.


  1. 1.
    Ghosh, P. (1976). Vertical tracheo-oesophagoplasty,Indian Journal of Otolaryngology,28: 164.Google Scholar
  2. 2.
    Ghosh, P. (1977). Transverse tracheo-oesophagoplasty, A new one-stage operation for construction of a larynx.The Journal of Laryngology and Otology,91: 1077.PubMedGoogle Scholar
  3. 3.
    Ghosh, P. (1980). Phonosurgery (seven contemplated varieties of construction of neolarynx), BiharJournal of Otolaryngology,1: 29.Google Scholar
  4. 4.
    Ghosh, P. (1984). Modification of transverse tracheo-cesophagoplasty,Indian Journal of Otolaryngology,36: 103.Google Scholar

Copyright information

© Association of Otolaryngologists of India 1986

Authors and Affiliations

  • P. Ghosh
    • 1
  1. 1.Post Moresby General HospitalUniversity of Papua New Guinea and Consultant OtolaryngologistUSA

Personalised recommendations