Patient with histologically confirmed squamous cell carcinoma in the area of the hard and soft palate and upper tonsillar lobe. There is a tumor that covers the entire palatal arch area from the upper tonsillar lobe on the right to the left side. Growth also on the back. No growth into the tube. However, growth also in the direction of the hard palate. Overall flap coverage indicated. Radialis flap not possible for vascular reasons, as Allen test not sufficient on both sides and other diagnostics likewise. Upper arm flap and other usual flap plasty not possible due to the required pedicle length. It was therefore decided to cover the defect with a latissimus dorsi flap together with the maxillofacial surgeon.