Laryngeal keratosis is a precancerous condition. Treatment modalities includes avoidance of aetiological factors such as smoking, stripping of vocal cords and examination of tissues for malignancy and use of laser vaporization. The treatment of Keratosis of the larynx is conservative involving microsurgical excision. Paial laryngectomy may be used in the presence of ceain T1 stage malignancy of Larynx.