Cutting around the tumor with the electric needle far into the healthy tissue and careful dissection of the tumor. Here, the soft palate area is dissected up to the midline. The posterior palatal arch is partially resected. The musculature is exposed. In addition, the resection extends to the base of the tongue. As far as can be assessed intraoperatively, the resection is successful in sano, whereby parts of the posterior palatal arch must be sacrificed. Careful hemostasis. Removal of representative marginal samples which are found to be tumor-free in the frozen section. A histologic R0 resection is therefore also present. Now formation of a caudally pedicled flap in the area of the lateral pharyngeal wall on the right and reconstruction of the posterior palatal arch by subtle suturing with monocryl sutures. Careful hemostasis. The first step is to wait and see whether this reconstruction of the posterior palatal arch is sufficient for the patient's swallowing function. Based on this, only a PEG should be inserted in the usual way. If the patient does not regurgitate, a two-stage neck dissection is recommended in approx. 2-3 weeks. Should regurgitation occur, reconstruction of the soft palate with a radial flap could be performed during the same procedure. As mentioned above, after performing a flexible esophagoscopy and gastroscopy, a PEG is inserted in the usual way.