Total laryngopharyngectomy is common in the treatment for most of hypopharyngeal cancer. Reconstructive surgery was performed byusing of a pedicled pectoralis major myocutaneous flap to the two male patients in our hospital. Additional operation of making a tracheoesophageal shunt was performed at the same time for the purpose of voice restora tion. Both of the two patients speak well in comparatively short period after the operation. It is well known that acquirement of esophageal voice after total laryngopharyngectomy is very difficult. Therefore, it is very significant to perform laryngopharyngectomy and reconstructive surgery for voice restoration at the same time.
