A surgical technique aiming to the reconstruction of the phonatory and respiratory function after laryngectomy is presented. This technique, which is performed in three stages, utilizes a deltopectoral flap, containing autogenic or allogenic cartilage, as a laryngeal substitute. To date, 13 patients have been submitted to this operation. Although both laryngeal functions, respiration and voice, were restored only in one patient, further refinements of the utilized surgical procedure may contribute to solve the problem of a complete functional rehabilitation after total laryngectomy.