Objective: To research the surgical type for hypopharyngeal reparation.
Method: The glossus flap with glossus deep arterial was made to repairing hypopharyngeal breach after total laryngotomy and partial hypopharyngotomy in 12 cases of repeated laryngeal carcinoma and hypopharyngeal carcinoma.
Result: 11 cases recovered in the swallowing function after 15 days and the pharyngeal fistula took place in one case, but healed in 35 days postoperatively. The survival rates in 1 year, 3 years and 5 years were 81.8%, 66.7% and 50% respectively.
Conclusion: The glossus flap is good material for hypopharyngeal reparation with rich blood supply, few complication and high survival rates.