FIG 2. Patient with an 8.4-mL supraglottic carcinoma. Pre-RT enhanced CT scan obtained at the lower supraglottic level shows a mass (arrow) infiltrating the paraglottic space on the left. Despite the large tumor volume, the patient elected definitive RT, which failed. The patient then underwent successful salvage resection of the supraglottic larynx (supraglottic laryngectomy).