Abstract
Microlaryngeal surgery (MLS) is difficult in patients with anaesthetic and cervical contraindications. An alternative approach is proposed here using a flexible laryngeal fiberscope and specially designed laryngeal instruments under local anaesthesia. Equipment and technique of the procedure is described. Indications and contraindications are highlighted based on our experience of 117 patients. Laryngeal fibrescopic surgery (LFS) was found to be a safer alternative. But this procedure cannot be used for all laryngeal pathologies.