目的 :探讨外伤性会厌功能障碍引起的吞咽呛咳的外科治疗途径。方法 :对 3例外伤性会厌部分缺失或完全缺失的患者 ,用喉上前徙术 ,即在清创缝合的同时将其喉体上抬 0 .5～ 0 .8cm、前倾 0 .6～ 0 .8cm ,以改变食管入口与声门的相应空间位置。结果 :术后随访 0 .5～ 2年 ,3例进食、饮水均未出现吞咽呛咳及误吸情况。结论 :该术式用于治疗会厌部分或全部缺失或会厌功能障碍较之传统的清创缝合术有着更好的应用价值 Objective: To investigate the surgical treatment of swallowing and choking caused by traumatic epiglottic dysfunction. Methods: Three cases of traumatic epiglottis partially missing or completely missing in patients with laryngeal anterior migration, that is, at the same time debridement suture laryngeal 0.5 ~ 0.8cm, forward 0.6 ~ 0 .8cm, to change the esophageal entrance and glottis corresponding spatial location. Results: All the patients were followed up for 0.5 to 2 years. There were no cough and aspiration in swallowing in 3 cases. Conclusion: This technique is better than traditional debridement for the treatment of partial or complete absence of epiglottis or dysfunctional epiglottis