The patient had a history of multiple laser resections of a cT1a glottic carcinoma on the left and a history of vertical partial laryngectomy for recurrent glottic carcinoma in domo 2001. Currently histologically confirmed G2 squamous cell carcinoma recurrence in the anterior commissure and left paramedian region. Indication for fronto-lateral partial laryngectomy according to Leroux-Robert and placement of a tracheostoma in case of poor adjustability and rather circumscribed findings on computed tomography.