本文报告了采用改进的全喉切除环咽吻合术的喉癌11例,取得了较满意的发声效果,而且吞咽功能也恢复良好。手术方法简单易行。手术改进要点是以喉外肌参与“后位会厌”成形、使之术后可随意调节升降、从而有效地防止了误吸,扩大了手术适应证范围,但气管套管拔管率还有待进一步提高。 In this paper, 11 cases of laryngeal carcinoma with modified total laryngectomy were reported. Satisfactory vocalization was achieved, and swallowing function also recovered well. The surgical method is simple and easy. The main point of surgical improvement is that the external laryngeal muscle participates in the formation of “late posterior epiglottis” so that it can be adjusted freely after surgery. This effectively prevents aspiration and expands the range of surgical indications. However, the extubation rate of the tracheal tube remains to be furthered. improve.