本文报告喉、气管狭窄的一期外科综合治疗过程,这种新技术包括自体带肌蒂舌骨重建喉部,移植的舌骨嵌入甲状软骨、环状软骨前壁裂开的两翼间,用尼龙线缝合固定,并以胸骨舌骨肌在移植舌骨的前、外侧支撑;插入硅质“T”形管;“T”形管上翼与硅模相连,眭模连线贯穿喉部固定于颈部皮肤以维持喉、气管狭窄部位的管腔及腔面。作者介绍了4个病例。引起喉和气管狭窄的主要原因是:外伤、延长插管时间和气管造口术的时间、以及气管切开手术时的操作错误。软骨的损伤、软组织损伤是气管、喉狭窄的直接原因,然而这种损伤史经常并不清楚。当上呼吸道梗阻确已解除则应考虑拔管,但此时气管与喉可能已产生严重的狭窄与变形。早期、正确的诊断最为重要,但必须通过手术探查才能正确地确定损害范围。“T”形管和硅模联合应用要求严格的准备、常规治疗和护理。此术唯一的缺点是住院时间较 This article reports a comprehensive surgical treatment of laryngeal and tracheal stenosis. This new technique includes the reconstruction of the throat of the hyoid muscle with a muscular tendon embedded in the throat, the insertion of the hyoid bone into the thyroid cartilage, the cleft of the anterior wall of the cricoid cartilage, Fixed, and the sternohyoid muscle in the anterior and lateral support of the hyoid bone; inserted silicon “T” -shaped tube; “T” -shaped tube on the wing connected to the silicon mold, Maintain laryngeal, tracheal stenosis of the lumen and cavity surface. The authors introduced four cases. The main causes of throat and tracheal stenosis are: trauma, prolonged intubation time, and tracheostomy time, as well as operational errors in tracheotomy. Cartilage injury, soft tissue injury is the direct cause of tracheal, laryngeal stenosis, however, the history of this injury is often not clear. When the upper airway obstruction has been lifted, extubation should be considered, but the trachea and larynx may have had severe stenosis and deformation at this time. Early diagnosis is most important, but surgical exploration must be done to correctly determine the extent of the damage. T-tube and silicon mold applications require stringent preparation, routine care and care. The only drawback of this surgery is hospitalization time