目的 :探讨喉次全切除双颈前皮瓣喉重建术临床应用的可行性、技术操作及疗效。方法 :选择 13例 T4喉鳞状细胞癌施行喉次全切除双颈前皮瓣喉重建术。结果 :本组病例术后发音成功率为10 0 % ,其中 11例言语可接受度达 7级 ,言语可理解度为 95 %以上 ,余 2例言语可接受度为 5级 ,言语可理解度为 90 %以上。误咽发生率为 15 .38%。本组 3年局部复发率为 15 .38% ,3、5年生存率分别为84.6 1%和 76 .92 %。结论 :该术式扩大了常规喉次全切除术的适应证 ,且有效地恢复喉的全部功能 ,并减轻致残程度 ,提高患者术后生存质量 ,值得推广应用 Objective: To investigate the feasibility, technical operation and curative effect of clinical application of laryngectomy with total anterior subtotal laryngectomy. Methods Thirteen cases of T4 laryngeal squamous cell carcinoma were selected for laryngectomy and double-neck anterior flap reconstruction. Results: The success rate of postoperative phonation in this group was 100%, of which 11 were verbal acceptable level 7, the speech comprehensibility was above 95%, the remaining 2 patients’ speech acceptability was 5, and the speech comprehensibility More than 90%. The incidence of swallowing was 15.38%. The 3-year local recurrence rate of 15.38%, 3,5-year survival rates were 84.6 1% and 76 .92%. Conclusion: This technique expands the indications of total laryngectomy and regains the full function of the larynx, alleviates the degree of disability, and improves the postoperative quality of life. It is worth popularizing and applying