Drawbacks to operations on the laryngopharynx may be classified, according to Trotter,1 into three groups: (1) the uncertainty of cure, which is the most important; (2) the danger of the operation and the distresses of convalescence, and (3) the mutilation and disability that may be left by an operation otherwise perfectly successful. This still holds true.
Intrinsic cancer is being well attacked by both laryngofissure and laryngectomy by Fellows of the American Laryngological Association. But I think that something can be done for patients who are suffering from so-called extrinsic cancer of the larynx. Better terms are epilaryngeal cancer, a growth originating on the epiglottis, aryepiglottic folds, pyriform sinus or lateral wall of the pharynx, and hypopharyngeal cancer, occurring in the lower portion of the pharynx.
In this presentation I claim nothing original, for I quote freely from Mr. Trotter's articles and personal communications, but by plaster
ORTON HB. LATERAL TRANSTHYROID PHARYNGOTOMYTROTTER'S OPERATION FOR MALIGNANT CONDITIONS OF THE LARYNGOPHARYNX. Arch Otolaryngol. 1930;12(3):320–338. doi:10.1001/archotol.1930.03570010366005