The patient has the above-mentioned carcinoma in the sense of a second carcinoma in Z.n. pT1 pN1 tongue edge-tongue base carcinoma, which was treated in 2005 by means of enoral tumor resection, neck dissection on both sides, PEG placement and adjuvant radiochemotherapy up to a maximum of 66.6 Gy. The patient had again had swallowing problems for about six months and an exophytic tumor in the right hypopharyngeal-laryngeal region. Hence the indication for the above procedure.