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Background and Objectives:The choice of the treatment in early glottic cancer depends on various factors. To evaluate the differences betwen the radiotherapy and conservation, laryngeal surgery including laser cordectomy, vertical hemilaryngectomy com-mending treatment modality on the early glottic cancer patients. Materials and Method:The medical records of 136 patients with glottic TisN0, T1N0 or T2N0 cancer diagnosed at Asan medical center, University of Ulsan college of medicine from May, 1989 to July, 2001 were retrospectively reviewed. The five-year survival rate, local control rate, and expenses were compared among the radiation therapy group, the laser cordectomy group and the partial laryngectomy group. Results:Surgical manage-had 95.0% and 92.9% local control rate, respectively while radiotherapy got 87.6% local control rate. Laser cordectomy costs lower than any other treatment. Conclusion:On the basis of the oncologic result, both the surgery and radiotherapy had the similar results, but surgical management seemed to show more organ preservation rate. Besides, in anterior comisure invasion, there was no significant difference betwen the survival and local control rate betwen surgery and radiotherapy. (Korean J Otolaryngol 2003 ;46 :151-5)