First of all, after induction of intubation anesthesia by the anesthesia colleagues, exposure of the tumor with the MLE tube. This reveals a tumor that is almost exclusively confined to the pharyngoepiglottic fold and extends slightly dorsally towards the arytenoid region. The patient is now repositioned and the Olympus mouth retractor is inserted. However, it becomes apparent that the tumor cannot be adequately adjusted. Resection using robot-assisted surgery therefore does not appear to be possible, so the tumor is repositioned using the Kleinsasser size B tube. The tumor can then be carefully resected with the small forceps and the small scissors under constant coagulation. Representative marginal samples are then taken, all of which are found to be tumor-free by the pathologists during the operation. After further subtle hemostasis, the procedure is completed. In a second step, the neck dissection and, if necessary, PEG insertion are planned.