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Malignant and premalignant lesions of the vocal cords represent an important chapter in laryngeal pathology, raising a number of issues in the literature regarding diagnosis and optimal therapeutic approach. Surgical ablation of malignant tumor formations can be performed classically, by external approach to the cervical region, or endoscopically, transorally, using laser and cold instruments under the operating microscope. Regardless of the surgical technique used, the goal must be the complete tumor ablation, with or without oncological treatment, as determined by a specialized oncological committee. The authors present the case of a patient with laryngeal neoplasm located in the right vocal cord and anterior laryngeal commissure, on a background of chronic white hypertrophic laryngitis with multiple areas of keratin on the left vocal cord. The paper highlights the importance of laser technology in the successful resolution of both benign and malignant vocal cord pathologies, presenting multiple advantages over traditional surgery and offering superior oncological, functional and esthetic outcomes. [ABSTRACT FROM AUTHOR]