Abstract: Objective : To explore surgical treatment of the experience of tracheal prosthesis substitution of the long segment defection (Resectional length ≥6cm ) of cervical tracheal carcinoma. Methods : From 1992.3 to 2001.5,14 patients with the cervical tracheal carcinoma underwent tracheal prosthesis substitution operation, including primary tracheal carcinoma in 5 cases, secondary tracheal carcinoma in 6 cases. 11 patients underwent laryngectomy、esection of trachea、 partial esophagectomy and distal of tracheal prosthesis ostomy. Results : The resectability of cervical tracheal carcinoma was 100%. there was no mortality in our study, postoperative complication involved granulation of stoma in 2 cases, infection of incisional wound of cervical in 1 case,The overall follow-up was from 2±3.5years,All patients were survival well. Conclusions : Surgical resection of cervical tracheal carcinoma with artificial tracheal substitution operation can increase the resectability of cervical tracheal carcinoma and promote the survival quality of the patient with tracheal carcinoma.