This is a modified subtotal laryngectomy. On the tumour-free side of the larynx, some posterior structures, with their neurovascular supply are preserved. The endolaryngeal mucosa is tubed in continuity with the trachea below and projects into the pharynx above. Thus a myomucosal shunt is formed. Air is directed into it by finger occlusion of the tracheal stoma.The voice production is highly satisfactory. Aspiration is prevented by constriction of the thyroarytenoid muscle which provides a valved upper end of the tube.The possibility of leaving tumour in the laryngeal remnant is eliminated by careful selection of patients, and re-confirmation of tumour extent intra-operatively and a frozen section.Eleven such operations have been performed since October 1983 for squamous cell carcinoma, some previously irradiated. None of the patients had local recurrence. Only one had an aspiration problem which later resolved. All acquired a satisfactory voice

Pelvic abscess, a potentially life-threatening collection of infected exudate in pelvic organs, commonly occurrs in sexually active women having pelvic inflammatory disease due to sexually transmitted infections. It is rare to find it in a girl never engaged in sexual activity. The index case was a of pelvic abscess in a 15year virgin girl. She presented with fever abdominal pain and lump. Ultrasonography suggested a complex pelvic mass but on CT imaging pelvic abscess was confirmed. She underwent surgical intervention after failed medical treatment to drain the collection and preservation of internal genital organs. Pelvic abscesses demand prompt diagnosis and management to prevent further complications and long-term poor fertility outcomes specially at young age and should be a differential diagnosis in girls with pain abdomen and fever.