30cases of new glottic reconstruction were performed under acupuncture anesthesia combined with drugs from 1996 to 2000. In these 30 cases of glottic stenosis after laryngeal reconstruction under general anesthesia, the lumen of the larynx was not much larger than was required for respiration. So all these patients tracheotomized could not be decannulated because of stenosis. A new glottic reconstruction under acupuncture anesthesia combined with drugs was performed in above mentioned 30 patients. Bilateral Futu (ST 32) and Hegu (LI 4) were punctured and stimulated electrically by setting the stimulating frequency of 100 Hz, a bearable strength and duration of 20 min after achieving sore, numb, heavy and distending needling sensations. Pethidine 1 mg/kg, rotundine 60 mg and metoclopramide 10 mg were given intramuscularly to each case as the supplementary medication 15 minutes before operation. Dicaine solution 1% was sprayed into the pharynx and larynx for topical anesthesia. During operation, the incision site of the skin was infiltrated with 0.5% procaine 10 mL. The anesthetic effects of acupuncture anesthesia were evaluated and attributed to: grade Ⅰ(excellent), grade Ⅱ(satisfactory), grade Ⅲ(fair) and grade Ⅳ(poor). According to the patency degree (the light type and the serious type) of glottis, the operative procedures were adopted correspondingly. We conducted quantitative measurement of the glottic width showing by laryngograph before and after operation. As to our experiences, the optimum width of the glottic lumen which is meticulously reconstructed under general anesthesia may be not accommodated the physiological path. Under the circumstances, glottic insufficiency or larynageal stenosis is often induced, resulting in an hypoventilation and often requiring an indwelling tracheotomy tube. Under acupuncture anesthesia, the patients were in conscious and physiological state thus the reconstructed new glottis may be easily achieved the physiological width. Of the 30 cases, 28 were male and 2 femal
