We reported two patients of hypopharyngeal and cervical esophagus cancer who attained good esophageal speech with a reconstructed esophagus after pharyngo-laryngoesophagectomy. Neoglottis in these patients was observed at the middle or lower portion of the cervical esophagus rather than on the entrance of the gullet. Esophageal speech of these patients may be accomplished by all of thin material (anterior neck skin) utilized for reconstruction, wide hypopharyngeal space and appropriate lumen of the gullet not only to make a neoglottis, but wide enough for swallowing.
