This is a retrospective study over a period of 5 years, from January 2011 to December 2015, which concerns 21 cases of laryngeal cancers that have undergone total laryngectomy. The average age of our patients was 60 years old, chronic smoking is incriminated in 71% of cases with an average consumption of 40 packs / year. Ethylism was found in 23% of cases. The time between onset of clinical signs and first consultation was on average 10 months. Dysphonia was the revealing sign in 76% of patients, most often associated with dyspnea. Panendoscopy with biopsy was systematically done to all of our patients, confirming the diagnosis of squamous cell carcinoma (100%), also paraclinical imaging revealed the extension of the tumor. Stage 3 TNM were most often found at the time of the diagnosis. In our studies, all of our 21 patients underwent total laryngectomy supplemented with radiotherapy for the sterilization of the tumor bed and ganglionic areas, except one patient who presented a permeation nodule. Postoperative course was grossly simple. No recurrences were noted. The deaths of two patients were deplored