癌侵犯颈部食管、梨状窝和环后区在作根治术后常有相当大的缺损,术后的咽部食管重建是一个难题。以往多利用咽部残余粘膜修补,但缺损大时修补难成功。最近报导利用外侧皮瓣、游离皮片移植、局部或远端的蒂状瓣、三角肌胸瓣、舌瓣、游离肠移植、肌皮瓣来作颈部咽食管重建,所有这些方法操作复杂,费时间。本文报道利用会厌粘膜修补,因会厌两面粘膜活动度大。病例报告:患者78岁,男性,活检后确诊为梨状窝和环后区鳞癌。喉镜检查见左梨状窝肿块,有坏死,肿物一直连到环后,杓会厌襞未受侵,声带活动好,颈淋巴结未触及。患者因有严重 Cancer invades the cervical esophagus, the pear-shaped fossa, and the posterior ring area. There is often a considerable defect after radical surgery. Postoperative pharyngeal esophageal reconstruction is a problem. In the past, most of the remnants of the pharyngeal mucosa were used for repair, but the repair was difficult when the defect was large. The use of lateral flaps, free skin grafts, local or distal pedicle flaps, deltoid muscle chest flaps, flaps, free bowel grafts, and myocutaneous flaps for the reconstruction of the neck pharyngoesophageal are all recently reported. All these methods are complicated to perform. Wasting time. This article reports on the use of epiglottic mucosal repairs due to the large degree of activity of the epiglottis on both sides of the mucosa. Case report: The patient was 78 years old and was diagnosed with a pear-shaped fossa and posterior ring squamous cell carcinoma after biopsy. Laryngoscopy revealed a lump in the left Piriformis, with necrosis. The tumor was continuously connected to the ring. The epiglottis was not invaded, the vocal cords were well-operated, and the cervical lymph nodes were not touched. The patient is seriously ill