The patient underwent a panendoscopy and a cT2 to 3 supraglottic laryngeal carcinoma was histologically confirmed on the right side, particularly in the epiglottis area. Due to the multimorbid patient, surgical treatment was favored. Initially planned transoral resection with good adjustability and rather exophytic tumor growth. Due to the unclear swallowing prognosis, neck dissection on both sides was initially dispensed with, possibly in combination with residual laryngectomy for functional reasons.