MODERN anaesthesia, in association with angular skin flap has been deflected from blood transfusion and antibiotics, has the anterior cervical region and the underopened up fresh fields to surgery. As a lying hyoid bone, larynx (with a number corollary, the confidence of surgeons in of tracheal rings), hypopharynx and some their anaesthetists tends to put increasing inches of oesophagus with the contained demands upon the skill and ingenuity of the latter. This is a healthy and desirable situation. When, however, a request is made which involves the relinquishment of control of the airway, an anaesthetist is entitled to pause and take stock before acceding to the request. An anaesthetist may be confronted with such a situation in the reconstructive surgery which is necessary following the operation of pharyngo-laryngo-oesophagectomy. In the interests of asepsis and a clear operating field, unimpeded by rubber tubing of doubtful sterility, with its tendency to kink or become discon
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