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There are only two methods of treating a patient with carcinoma of the larynx. One is irradiation with roentgen-rays or radium. This is a valuable aid in the treatment of malignant growths, but should be used only in inoperable cases or to supplement operative removal. At the present time the results of ray therapy are so erratic and unpredictable, that whenever the diagnosis of cancer has been established from the history, examination and biopsy, and the growth is still localized and can be safely removed, the operation should not be postponed. The fact that the majority of carcinomas of the larynx are of the squamous cell, pearl forming variety which is very resistant to radium treatment adds force to this argument. We have all seen tumors of the tonsil or larynx permanently cured with irradiation therapy, but we have also seen tumors in the same location and

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