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July 1943


Arch Otolaryngol. 1943;38(1):10-16. doi:10.1001/archotol.1943.00670040019002

In no other organ of the body does carcinoma yield so successfully to early diagnosis and surgical treatment as in the larynx. Thomson,2 in reviewing the history of carcinoma of the larynx, said:

When we recall that fifty years ago Morell MacKenzie was obliged to say that, for cancer of the larynx, "the only possible termination is death," we may rejoice in realizing to-day that with laryngofissure we can effect lasting cures in over 80 per cent of cases, that there should be no operative mortality, that surgery (laryngofissure and laryngectomy) will cure practically all cases of intrinsic cancer and that, in skilled and careful hands, they are now well-established as safe and justifiable procedures.

The decision between laryngofissure and laryngectomy is not always easy, but if laryngeal surgeons would remember not to compromise with carcinoma, many more patients with cancer of the larynx would survive. Total laryngectomy does not