文摘
In the past, treatment options for T2 and T3 laryngeal cancer included open excision (partial, near total, or total laryngectomy) and/or radiation therapy. Over the past decade or so, new options for management of these lesions have been introduced with the goal of improving functional outcome while maintaining acceptable survival rates. Such techniques include extended endoscopic excision, supracricoid laryngectomy, and organ preservation modalities using radiotherapy and chemotherapy. While the state of the art continues to evolve, the optimal management of these intermediate-size lesions remains controversial.