The patient had a pT2 pN0 tonsillar carcinoma in 1994 with adjuvant radiotherapy up to 60 Gy. The patient has now developed a second carcinoma in the supraglottis area on the left pocket fold with ingrowth into the thyroid cartilage. Prior consultation with <CLINICIAN_NAME> that neck dissection would not be performed in the case of a cN0 neck status and condition after neck dissection on both sides.