In the patient, a cT3 supraglottic laryngeal carcinoma on the left was histologically confirmed during a panendoscopy, aryfixation and fixation of the left hemilarynx. Sonographically, there was evidence of a cN2a neck status. In our interdisciplinary tumor conference, primary surgical treatment with laryngectomy was recommended. After extensive consultations, a joint decision was made with the patient on primary surgical treatment.