Salvage surgery is always a challenging choice and must even more fulfil both oncologic requirements and quality-of-life issues. In head and neck patients, the most important goals are pain relief, preservation of breathing and deglutition, acceptable cosmetic results, and a sufficient quality of the residual life. When surgery is still considered an option, a safe, quick-recovering, and function-saving technique should be chosen. The author's experience and an illustrative case report are described.