Abstract
Conservation operations which preserve laryngeal function constitute an important advance in therapy for laryngeal carcinoma. Where applicable, they yield results as good as operations that totally sacrifice the larynx. In the past 10 years this group has comprised 40 per cent of all cases of laryngopharyngeal cancer.
Irradiation also is important in therapy, being the method of choice for some glottic lesions and a valuable preoperative adjunct in other cases.
Radical neck dissection, where indicated, should be performed in continuity with resection of the primary lesion instead of after the appearance of cervical metastases.