ONGS SURGERY TOTAL LARYNGECTOMYTOTAL PHARYNGECTOMY TOTAL ESOPHAGECTOMY WITH GASTRIC PULL UP. -THE FORGOTTEN SURGERY

Total laryngo pharyngo esophagectomy with gastric pull up also known as the ONGS surgery is indicated for large post cricoid tumor with cervical oesophagus involvement. The goal of this procedure is to cure the patient from malignant tumor and restore normal swallowing. With the availability of newer and improved radiotherapy techniques like CHART (continuous hyperfractioned accelerated radiotherapy) the local and delayed complications of radiotherapy has reduced in the recent times. Morbid surgeries like the ONGS are avoided. Now the present indication for ONGS has been restricted to either cases with radiotherapy failure or as a salvage procedure. So in recent times with the rarity of this procedure being performed, it has almost been FORGOTTEN. The purpose of this paper is to highlight ONGS as primary modality of treatment.