1873年Billroth首次作全喉切除术成功为喉癌的治疗开创了一条有效的途径。但术后丧失发音功能,不少患者不愿接受手术而失去早期治疗的时机。因此百余年来,全喉切除后发音功能重建问题,广泛地被喉科医生所重视,出现许多恢复发音功能的方法,大致可归纳为四种类型:即食管发音、机械(或电子)式人工喉、喉移植及发音瘘管建造 The first successful total laryngectomy by Billroth in 1873 opened an effective avenue for the treatment of laryngeal cancer. But after the loss of pronunciation function, many patients are reluctant to accept surgery and lose the opportunity of early treatment. Therefore, over 100 years, the reconstruction of phonetic function after total laryngectomy has been widely valued by throat doctors. There are many ways to restore phonetic functions, which can be roughly classified into four types: esophageal voice, mechanical (or electronic) Artificial throat, laryngeal transplantation and pronunciation fistula construction