晚期喉咽癌或颈段食管癌术后常用胸大肌岛状肌皮瓣或胃代食管重建上消化道 ,但术后能否重建气管食管音 ,国内外报道甚少。我科于 1 997～1 998年 ,对 3例喉咽或颈段食管癌患者术后行Blom- Singer发音重建术 ,获得满意效果。报告如下。1　临床资料例 1　男 ,63岁。因吞咽阻塞感 Late hypopharyngeal cancer or cervical esophageal cancer commonly used after the pectoralis major myocutaneous island flap or stomach on behalf of the esophagus to reconstruct the upper gastrointestinal tract, but can reconstruct the tracheal esophageal sound after surgery, few reports at home and abroad. In our department from 1997 to 1998, 3 cases of hypopharyngeal or cervical esophageal cancer patients underwent Blom-Singer vocal reconstruction after operation, with satisfactory results. The report is as follows. 1 clinical data example 1 male, 63 years old. Because of swallow obstruction