目的 :探讨治疗晚期喉癌 (T4 )并能重建喉功能的手术方法。方法 :对 19例晚期喉癌患者行扩大喉次全切除术 ,并用胸骨舌骨肌及筋膜行喉成形术。结果 :术后 13例恢复全部喉功能 ,6例恢复部分喉功能 ,1、3、5年生存率为 89 4 7% ,6 8 4 2 % ,4 7 37%。结论 :部分T4 患者是可以施行喉次全切除术的。用胸骨舌骨肌及筋膜行喉成形术效果好 ,成功率高 Objective: To explore the surgical treatment of advanced laryngeal carcinoma (T4) and reconstruction of laryngeal function. Methods: Nineteen patients with advanced laryngeal carcinoma underwent total laryngectomy and thoracic hyoid muscle and fascia laryngoplasty. Results: All the laryngeal functions were restored in 13 cases and partial laryngeal function was restored in 6 cases. The survival rates at 1, 3 and 5 years were 89 47%, 684 2% and 47 37%, respectively. Conclusion: Some T4 patients can perform subtotal laryngectomy. With sternohyoid muscle and fascia laryngoplasty effect is good, high success rate