After panendoscopy with test biopsy, the patient had a histologically confirmed glottic carcinoma of at least cT2 cN0 on the right side with extension to the subglottic, anterior commissure and morgue sinus. This was confirmed histologically. In addition, there is a simultaneous histologically confirmed hilar bronchial carcinoma. B-scan ultrasonography revealed a cN0 neck status. A CT scan was performed and a cT2-3 glottic carcinoma on the right was suspected, with no definite evidence of cartilage infiltration. The patient was informed in detail about the treatment options, surgery and radiotherapy. It was discussed in detail that a complete removal of the larynx may be necessary. The patient wishes to avoid this as far as possible. There is a history of occlusion of the right carotid artery in 1997 with apoplexy and hemiparesis on the left. This is also shown on CT. Based on the medical history and clinical findings, indication for the above-mentioned procedure.