In the patient <2015>, a cT3 transglottic laryngeal carcinoma was histologically confirmed as a moderately differentiated squamous cell carcinoma during a panendoscopy. Computed tomographic transglottic carcinoma with clear erosion of the thyroid cartilage and here cN0 neck status. Sonographic evidence of cN1 neck status with conspicuous lymph nodes in level Ib on the left side. In our interdisciplinary tumor conference, the primary surgical procedure with laryngectomy was recommended. There is a history of partial parotidectomy on the right in 1965.