全喉切除术治疗喉癌自Billroth(1873)施行以来历一百余年,因手术彻底而疗效较好,已被广泛应用。但因其毁损发音功能,呼吸则经颈部气管造口而不经鼻、咽等自然径路,殊不合生理,且颈部留一造口,既不方便,亦不雅观,对患者的社会活动影响甚大,常不能正常工作。近十年来的全喉切除后咽气管吻合术是一大进步,但常有拔管困难而仍经颈部 Total laryngectomy for the treatment of laryngeal cancer since Billroth (1873) since the implementation of more than a hundred years, due to thorough and effective treatment, has been widely used. However, due to its dysfunctional voice, breathing through the neck tracheostomy without nasal, pharyngeal and other natural pathways, but not physiologically, and the neck left an anastomosis, neither convenient nor unsightly on the patient’s social activities Very influential, often can not work properly. Nearly 10 years after total laryngectomy is a great progress in the treatment of pharyngeal trachea, but often extubation difficulties and still through the neck