目的探讨前联合上喉室入路行喉声门上水平部分切除的适应证。方法8例选择性喉鳞状细胞癌巨大外生型声门上型T2~3N0~2c患者,无声带固定,无环后区受侵,行前联合上喉室入路切除原发病灶及水平半喉,常规修复。结果所有患者无切缘阳性,术后发音好,无咽瘘发生,进食时间8~26d,随访存活2年以上5例。结论对于喉癌声门上巨大外生型,无喉室及声带受侵的患者,前联合上喉室入路是比较好的选择,符合肿瘤切除原则。 Objective To explore the indications of the horizontal part of the laryngeal glottate removal combined with the approach of the upper throat. Methods Eight patients with giant exogenic supraglottic T2 ~ 3N0 ~ 2c of selective laryngeal squamous cell carcinoma were enrolled in this study. They were silent and fixed in the posterior region of the laryngeal squamous cell carcinoma. The primary lesion and level Half throat, routine repair. Results All patients had no positive margins, postoperative phonation was good, no pharyngolaryngoesophageal fistula occurred, the feeding time was 8 to 26 days, and 5 cases were followed up for more than 2 years. Conclusions For patients with large glottic exophthalmos of the laryngeal carcinoma who have no invasion of the throats and vocal cords, the anterior approach to the upper throat ventricles is a good choice and is consistent with the principle of tumor resection.