本文报告经鼻侧进路手术的鼻咽血管纤维瘤2例及经腭进路手术的咽侧多形性腺瘤1例,术后皆多次复发。该3例后经CT扫描发现复发肿瘤均已侵及蝶颞下窝,乃采用经颈-口进路手术,肿瘤得到切除。经颈-口进路手术方法:自颏尖至乳突作切口,掀开皮瓣,切断附于舌骨上之二腹肌和茎突舌骨肌,将皮瓣连同颌下组织向上翻转。认清颈内动、静脉、副神经、迷走及舌下神经。自中线切开下唇及颏部,使之与颈部切口相连,并从中线用骨膜剥离器剥离下颌骨之骨膜使下颌骨暴露2cm,呈梯形切断下颌骨, This article reports two cases of nasopharyngeal angiofibroma treated by nasal approach and one case of pharyngeal pleomorphic adenoma via palatal approach, all of which have multiple recurrences after operation. The three cases after CT scan found that recurrent tumors have infiltrated the butterfly temporomandibular fossa, is the use of neck-mouth approach surgery, the tumor was removed. The neck-mouth approach: from chin to mastoid incision, open the flap, cut off attached to the hyoid bone and styloid muscles, the flap together with submandibular tissue up flip. Identify the carotid artery, vein, accessory nerve, vagal and sublingual nerve. From the midline incision of the lower lip and chin, making it connected with the neck incision, and from the midline periosteal dissection of the mandibular periosteum to expose the mandible 2cm, trapezoidal cut the mandible,