The results of the treatment of 340 patients with malignant tumors in the laryngopharynx show the advantages of combined and surgical methods over radiation therapy: five-year survival after application of the above methods made up 43% and 12%, respectively. A new method of autovenous plastics of carotid artery is proposed to treat advanced metastatic tumors. Different variants of restoring pharyngeal integrity after the destructive operations are evaluated.