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Objective To establish a surgery model that can prevent stenosis of trachea stoma and reconstruct vocal function by stoma with tracheal-esophagus flaps.Methods Vocal reconstruction operations of 29 laryngectomized patients from 1994 were performed with the first stage mucosal valvular shunt of tracheo-esophagus and Griffith tracheostoma enlargement method.Results In these 29 cases,26 cases achieved voice reconstruction.In them,there were 2 cases needed cannulation for 3 months.The others didnt need cannulation and no stricture was found after followed them up for more than one year.Conclusion The vocal reconstruction operations with Griffith tracheostoma enlargement method and first stage mucosal valvular shunt of tracheo-esophagus is a good method to treat laryngeal carcinoma and resume laryngeal function.