Total laryngectomy.

Total laryngectomy since it was first performed more than a century ago has undergone numerous modifications with increasing attention to voice restoration. Function preservation has also been achieved by voice sparing surgical procedures, and organ preservation strategies with chemoradiotherapy for laryngeal carcinoma. However, total laryngectomy remains the standard of care for very advanced laryngeal cancers with cartilage destruction, and as a salvage procedure for failures to organ preservation therapies. In this article, we review the indications, complications and outcomes of total laryngectomy in the era of chemoradiotherapy.