88 year old man

Former smoker (30 years)

Laryngeal cancer 7 years ago (pT1a right vocal cord, SCC grade II, small cordectomy type III, free margins). Follow-up until 2020 (lost during pandemia). Essential tremor (sumial)

Now increasing dysphonia

Fibrolaryngoscopy: neoplasm anterior part of right vocal cord reaching anterior commissure. NBI + CT: small lesion that does not infiltrate the thyroid cartilage.

MTB: T1bN0 rvc

Proposed treatment: transoral surgical resection