本文报告为一声门型喉癌(T_1N_0M_0)病人试行了利用舌骨上肌群的声门成形术。首先从额侧剖开喉腔,可见肿瘤以前联合为中心,已侵及右声带,左声带前1/3及两侧喉室,两声带活动尚好。根据肿瘤范围,首先环形切断环状软骨、保留其下半部分,上方则从会厌基底部至杓区的下方数厘米处,作环形切断,即相当于以声带为中心,上下各切除约2cm,分离喉体后切断下颌舌骨肌,保留二腹肌和茎舌骨肌,正中切断舌骨,将其左右之断端,分别用尼龙线紧密地缝合在被保留的环状软骨后缘,即残留的杓状软骨部分;然后将气管断端粘膜和杓区粘膜相缝合,逐渐向 This article reports a trial of glottal plasty using the hyoid muscle on a gated laryngeal cancer (T_1N_0M_0). First open the throat from the frontal side, we can see the tumor before the union as the center, has invaded the right vocal cord, the left vocal cords with the former 1/3 and both sides of the throat room, two vocal cords activity is good. According to the tumor range, first of all, ring-shaped cut off the annular cartilage, leaving the lower half, above the epiglottis from the base of the Ministry to the next few centimeters below the scoop zone, for the ring-shaped cut, which is equivalent to the vocal cords, up and down about 2cm, After the body was cut off the hyoid muscle of the maxillofacial region, the abdominal muscles and the hyoid muscle were preserved. The hyoid bone was cut off in the middle and the left and right ends of the hyoid muscle were sutured tightly with the nylon thread to the trailing edge of the retained annular cartilage, Cartilage; then the tracheal stump mucosa and sclera area mucosal suture, gradually