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numerous surgical techniques can be used for conservative laryngeal cancer treatment. in all cases, the goal is to preserve laryngeal function as far as possible and, at the same time, to observe, as rigorously as possible the principles of oncological radicality. functional reconstructive laryngectomies were performed at the EnT Clinic of modena general hospital. The following types of procedure were performed: • Cricohyoidoepiglottopexy (CHEP) or laryngectomy using the mayer-Piquet technique: 56 patients had this type of surgery. • Cricohyoidopexy (CHP) or laryngectomy using the La-bayle technique: 20 patients. • Supraglottic horizontal laryngectomy (SHL) using Alonso's technique: 35 patients. • Glottic horizontal laryngectomy using Calearo-Teati-ni's technique: 4 patients. • Supracricoid hemipharyngectomy: 2 patients. • Tracheohyoidopexy (THP): 5 patients. Patients had a mean age of 65 years (range 48-84 years). The nasogastric tube removal date and discharge date were calculated for all patients. The data regarding decan-nulation was calculated in all patients except those who had to follow a subsequent cycle of radiotherapy to complete treatment, as these patients were discharged with the tracheotomy tube, as a precaution, in view of their subsequent radiotherapy. in the light of these data, the nasogastric tube was removed , on average, on post-operative day 14 (range: 3-38 days), on average, patients were decannulated on day 23 (range: 12-88 days), discharge was, on average, on day 27 (range: 11-90 days). deglutition training ended at discharge. The deglutition data refers to all patients, who attended a 3-month follow-up visit. Two deglutition assessment scales were used: • " Dysphagia Score " (Table I) which provides a score on the basis of the patient's medical history. • " Penetration-Aspiration scale " (modified version) (Table ii) performed after a fibrolaryngoendoscopic evaluation of swallowing (FEES). As speech rehabilitation takes place primarily after discharge , the findings concerning deglutition concern all patients , whereas the voice findings concern those patients able to attend speech therapy sessions at our service only. As far as the vocal results were concerned, we used yan-agihara's classification (modified by ricci maccarini and de Colle) for the vowel \a\, this classification involves three types of spectrogram. As far as the aerodynamic indices were concerned, we took into account the maximum phonatory time on a sustained vowel \a\. We also took into account the pa-tients' self-assessment, filling in the voice handicap index (ten-item version): each question was given a score, these scores will be added together and the patient's …