I’m in a constant battle with shirts… what ones I have that fit comfortably are designated as “tall” shirts; but even on those I’m not sure I could wear a tie. I’d probably have to go up to an XL shirt in a tall to find one that fits, and it’d be far too wide.

Here’s an interesting DIY solution (though I haven’t tried it)

I like it, because it takes a lot of the guesswork out of sizing, since you can actually put it on and feel the fit (careful of those pins though!)