목적: Tracheoesophageal puncture and voice prosthesis insertion has become the gold standard for voice restoration after total laryngectomy. However, the voice prosthesis should be changed routinely and has complications. The objective of this study was to evaluate the functional and oncological results in patient laryngohypopharyngeal carcinoma with near total laryngectomy(NTL). 방법:We reviewed the medical records of patient with laryngohypopharyngeal carcinoma treated with NTL and NTL with free flap at Hallym University Medical Center Kangdong Sacred Heart Hospital and Ewha Womans University Mokdong Hostpital by single surgeon, between 1997 and 2014. 결과:Total 30 patients was enrolled in this study. 17 patients were treated with NTL and 13 patients were treated with ENTLP. 8 patients were treated surgery alone and 18 patients were treated with post operative radiotherapy and 4 patients were treated with post operative concurrent chemoradiotherapy. Consistent saliva leakage and aspiration leaded to conversion to total laryngectomy in one patient. Shunt stenosis was observed in one patient. 28 patients could use shunt speech post operatively. 6 patients had recurred tumor, one patient had stomal recur and 5 patients had distant metastasis. Acoustic analysis showed high fundamental frequency and mean maximum phonation time was 9.36 seconds. 결론:NTL is an alternative procedure for resection of advanced unilateral laryngohypopharyngeal carcinoma with preservation of a natural functioning neoglottis. In order to optimize the results, proper selection of patients and the performance of operative technique should be considered.