Endoscopic laser resection for anterior commissure glottic carcinoma is difficult because of inadequate exposure and close proximity to underlying cartilage. A technique combining endoscopic CO2 laser incision and an external approach, creating a window in the thyroid cartilage has been devised. True of false vocal fold tumors are excised, along with the paraglottic space and adjacent artilage preserving the remaining thyroid framework. The reconstruction is accomplished with placement of a sternohyoid muscle flap, by either using a bipedicled muscle flap with overlying skin or a unipedicled musle flap with a graft of free mucosa. The graft was secured in place with fibrin glue, and laser soldering. We believe that this new combined technique is oncologically, may overcome limited access with endoscopic technique and excessive cartilage resection seen with the external partial laryngectomy, avoids a tracheotomy, and shorten hospital stays.