MANAGEMENT OF ADVANCED-STAGE LARYNGEAL-CANCER

Although the total laryngectomy is still the most reliable and simples t method for treating advanced laryngeal carcinoma, the shortcomings o f the sequelae of the procedure have provided a constant challenge for improvement and change. Two alternatives that have shown some success are the Pearson near-total laryngectomy and the supracricoid partial laryngectomy with cricohyoidopexy and with cricohyoidoepiglottopexy. T his article covers the procedural differences between these alternativ es to the total laryngectomy.