During a panendoscopy <2012>, the patient was diagnosed with a cT2 cN0 oral cavity carcinoma in the right paramedian soft palate. In our interdisciplinary tumor conference, primary surgical treatment was recommended. Immediately preoperatively, sonography revealed a cN0 neck status. CT showed no evidence of distant metastasis. In the case of a preoperatively determined implant fracture following cervical spine surgery, the procedure regarding positioning was discussed with the trauma surgery and neurosurgery colleagues on several occasions. Positioning within the natural range of motion was classified as safe.