Total laryngectomy

The ultimate surgical option for larynx cancer, in which the entire voice box is removed. Options used to avoid total laryngectomy are endoscopic laser surgery; partial laryngectomy; radiation; and chemo/radiation. Today, total laryngectomy is most often a salvage procedure, performed after failure of the initial treatment. It is still, however, a good primary option for very advanced tumors not likely to respond to chemo/radiation.