A critical decision in the management of laryngeal carcinoma s the identification of metastasis to regional lymph modes. CT provides a unique, noninvasive technique for preciesely evaluating the deep extent of laryngeal carcinoma and the presence of lymphadenopathy. The computed tomography scans of 21 patients with laryngeal carinoma were reiviewed retrospectively to determine the relatioship between tumor extent and lymph node metastasis. The risk of lymph node metastasis was higher in massive tuor extendig beyond the larnx to involve soft tissues of neck.