The treatment of three cases of dysphagic patients who were tracheostomized is reported and the efficacy of tracheal T-tube for dysphagic patients with tracheostomy is insisted on. Tracheostomy is required to remove sputum in the trachea in severe dysphagic patients. In some of these patients decannulation is difficult because a vicious circle develops. In order to spit out what was aspirated and phlegm a tracheostomy is required. Improvement of dysphagia is disturbed because tracheostomy is a negative factor for dysphagia. The tracheal stoma was not closed without the improvment of dysphagia. It is important to cut this vicious circle in order to improve the dysphagia. The tracheal T-tube with speech valve was inserted on a tracheal cannula and the patients were taught to spit out sputun, not to swallow saliva and to spit out orally what was aspirated and phlegm. After stoma was closed, rehabilitation training or operation such as infrahyoid myotomy and cricopharyngeal myotomy was performed. The three severe dysphagi patints with tracheostomy succeeded in oral intake of foods and water without laryngectomy by this method.
