Management of advanced-stage laryngeal cancer.

Although the total laryngectomy is still the most reliable and simplest method for treating advanced laryngeal carcinoma, the shortcomings of 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. This article covers the procedural differences between these alternatives to the total laryngectomy.