A simple suture instrument for endoscopic microlaryngeal surgery is presented. It is made from a common sewing machine needle that is soldered in a 25 cm pipe-like holder and is slightly bent near the point. The needle tip is so threaded that the thread can pierce through both edges of a wound following placement with an endoscopic tube. The thread is held by a forceps, the instrument withdrawn and the suture knotted. In practice, wounds can be sutured very quickly, easily and comfortable. An example of its application is use of the instrument to shorten significantly and simplify the performance of endoscopic arytenoidectomy.
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