A new technique of continent tracheo-oesophageal fistula, aimed at facilitating vocal (and therefore global) rehabilitation of patients with total laryngectomy, is described. The fistula method is not new: it carries the expired air from the trachea into the pharynx when the tracheostomy is obstructed, thereby providing possibilities of phonation. What is new in this technique is that it avoids the insertion of prosthesis in the fistula to prevent aspirations. Voice and deglutition were satisfactory in the 3 patients operated upon with this technique.