Abstract
From 1972 to 1981, 253 patients with laryngeal carcino ma were treated in our department. The 5-year survival rate was 73 96 (stage I 80 %, II 74 %, III 68 %) in the glottic type, 51 % (stage I 61 %, II 73 96, III 49 %, N 4196) in the supraglottic type and 27 % in the subglottic type. For advanced laryngeal carcinoma of T3, T4, the choice of treatment on the basis of this retrospective study is as follows: Glottic T3 NO-N 1: Initially a full dose radiation therapy is indicated and if this fails, a salvage total laryngectomy should be performed. Supraglottic T 3-4 N 0-1: This type is difficult to cure with radiation therapy only. We consider it safer to treat this type with total laryngectomy after pre-irradiation.
