下咽癌是耳鼻喉科常见的恶性肿瘤之一,治疗是以手术为主的综合治疗。咽瘘是下咽癌术后常见的并发症,文献报道全喉切除术后咽瘘发生率为3.2%~38.6%~[1]。咽瘘是指唾液贮积与皮下或切口下组织,形成脓腔破溃至皮肤或切口,使下咽、食管腔与皮肤相通成窦道,并且唾液或食物经此窦道向皮肤外溢,形成皮肤瘘~[2]。我科为1例下咽癌患者在局麻下行气管切开术,全麻下全喉切除、双侧功能性颈清扫、喉粘膜瓣修 Hypopharyngeal cancer is one of the most common malignant tumors of otolaryngology. The treatment is based on surgery. Pharyngeal fistula is a common complication of surgery after hypopharyngeal cancer, reported in the literature after total laryngectomy pharyngeal fistula incidence of 3.2% to 38.6% ~ [1]. Pharyngeal fistula refers to the saliva storage and subcutaneous or incision tissue, the formation of abscess ulceration to the skin or incision, so swallow, esophageal cavity and the skin into the sinus, and saliva or food through the sinus to the skin spill, The formation of skin fistula ~ [2]. Our department was a case of hypopharyngeal cancer under local anesthesia tracheotomy, total laryngectomy under general anesthesia, bilateral functional neck dissection, laryngeal mucosal flap repair