Subtotal laryngectomies with cricohyoidopexy allow the removal of the glottis in a single bloc in continuity with the paraglottic spaces and the thyroid cartilage (CHP type l ) , or removal of the supraglottic larynx with the preepiglottic space in continuity with the glottis (CHP type 2). The operative technique is detailed. Eighty-two CHPs have been performed as primary treatment for laryngeal cancer since 1978. Postoperative events, functional results, recurrence, and survival are described. Thirty-seven CHPs have been followed-up for at least 3 years. Within that group, only one (2.7%) had local recurrence. The single bloc excision of the primary tumor along with the potential spaces of extension involved in CHP may account for this very low rate. Indications and limitations are described. HEAD & NECK SUR-GERY 10:S17-S24,1988 o f the multiple techniques previously described for removal of laryngeal tumors with preservation of laryngeal function, few have survived the test of time. Each has, however, well-defined indications and limitations. Supraglottic laryngectomy, for instance, cannot be used for supraglottic cancers involving the glottis. Extended hemilaryngectomy is limited by risks of glottic