목적: In this study, we focused on recur pattern and salvage treatment in T1N0, T2N0 early glottis cancer according to the primary treatment, TLM and RT. Through this, we tried to suggest the basis for choosing a more suitable initial treatment between TLM and RT in T1N0, T2N0 early glottis cancer. 방법:We retrospectively analyzed the medical records who was newly diagnosed for T1N0, T2N0 early glottis cancer from 2005 to 2020 in Korea University Anam Hospital. Among patients, only those who were 18 years of age or older, follow-up for more than 1 year, and confirmed and SCC on histologic examination were included. We compared patient’s basic characteristics, initial tumor stage, treatment outcome, overall survival rate and salvage treatment modality according to the primary treatment. 결과:Total 129 patients were included in the analysis, and 59 patients (45.8%) undergone TLM and 70 patients (54.2%) undergone RT. There was no significant difference between patient characteristics (sex, age) and tumor characteristics (T stage), and primary treatment method (all P>.05). 24 patients (18.6%) recurred, 6 patients (10.2%) in TLM group and 18 patients (25.7%) in RT group, which was higher in RT group (p=.02). As a salvage treatment, re-do TLM was performed in 2 patients, open surgery in 1 patient, and RT in 3 patients in TLM group. In RT group, re-do TLM in 9 patients and open surgery in 9 patients was performed. In RT group, open surgery rate and rStage was higher. There was no difference in overall survival according to the initial treatment method. 결론:In the case of recurrence, open surgery rate and rStage was higher in RT gruop. On the other hand, in TLM group, various salvage treatment modality such as TLM/Open surgery/ RT could be chosen. Therefore, when choosing the primary treatment for early glottic cancer, it is necessary to take an approach that combines not only the characteristics of the patient and tumor, but also the salvage treatment method in case of recurrence.