Patient with histologically confirmed supraglottic squamous cell carcinoma with extension into the vallecula and caudal tongue base as well as ingrowth into the arytenoid region on the left and medial hypopharyngeal wall on the left. Taking into account the corresponding imaging and the panendoscopic findings, the above-mentioned procedure was indicated with flap coverage. Patient informed about flap coverage, the plan was to remove the radial lobe on the left with a negative Allen test on both sides.