The patient has a postoperative pT2 pN0 cM0 oropharyngeal carcinoma (ED 2009) with postoperative laser resection, neck dissection on both sides and adjuvant radiochemotherapy for residual carcinoma on the posterior pharyngeal wall with 72 Gy. In the tumor follow-up, CT imaging reveals a flat contrast agent image on the left edge of the tongue. The patient suffers from postradiogenic esophageal stenosis and laryngeal stenosis and is permanently tracheostomized. Based on the findings, the above-mentioned operation is indicated. Preoperatively, a sample was taken from the suspected tumor area on the left edge of the tongue. This revealed a squamous cell carcinoma.