喉近全切除术对于晚期喉癌既考虑肿瘤的彻底切除 ,又考虑未被肿瘤侵犯的正常喉粘膜的保留。重建发声管是近几年国内外文献报道的理想术式。 1996年开始 ,施行喉近全切除术发声重建失败三例 ,介绍如下 :1　临床资料例 1　男 ,5 5岁 ,声嘶 2年伴呼吸困难 3个月 ,间接喉镜检查见左 Near-total laryngectomy does not only consider the complete resection of the tumor but also the preservation of the normal laryngeal mucosa that has not been invaded by the tumor. Reconstructing the sound tube is an ideal technique reported in the literature at home and abroad in recent years. Since 1996, three cases of failure in vocal reconstruction have been performed in the near total laryngectomy. They are described as follows: 1 Clinical data 1 Male, 5 years old, hoarse 2 years with dyspnea for 3 months, Indirect laryngoscopy See left