Can a nonbulky, T1-2 supraglottic larynx cancer near the vocal cords be treated like a glottic tumor?

The supraglottic larynx and the pharynx, unlike the glottic larynx, share similar embryological origins and therefore exhibit analogous lymphatic drainage patterns to levels II and III. Therefore, occult dissemination to regional lymph nodes has to be considered regardless of the characteristics of ...

I would treat both necks Lv. II-IV as well

If the patient's tumor was T1N0 of false cord and had a negative PET/CT and had a history of carotid artery problems, I would consider a more limited carotid artery sparing technique. The lymphatic supply to the false cords is sparser than to other supraglottic sites.

With the caveats noted above, t...