Pharyngeal reconstruction by anterolateral thigh flap with vastus lateralis muscle transfer for effective swallowing after total glossolaryngectomy: A case report

Hideki Kadota, Kenichi Kamizono, Sei Yoshida, Masuo Hanada, yusuke inatomi, Seita Fukushima, Torahiko Nakashima, Ryuji Yasumatsu, Takashi Nakagawa

Research output: Contribution to journalArticle

Abstract

Background: We report a novel reconstruction technique that maintained effective swallowing after total glossolaryngectomy (TGL) by restoring pharyngeal constriction using a vascularized vastus lateralis muscle transfer. Methods: A 65-year-old male with recurrent tongue cancer underwent TGL and anterolateral thigh flap reconstruction with the vastus lateralis muscle. The bilateral cut ends of the remaining posterior pharyngeal wall constrictor muscle were sutured to the transferred vastus lateralis muscle so that the two muscles encircled the reconstructed pharynx. The femoral nerve of the vastus lateralis muscle was coapted to the hypoglossal nerve. Results: Videofluorographic examination showed the contrast bolus flowing smoothly with little assistance from gravity. Laryngoscopic examination showed circumferential constriction of the reconstructed pharynx. The patient could swallow soft food without placing the bolus in his posterior oral cavity or drinking simultaneously. Conclusion: The restoration of pharyngeal constriction introduces the possibility of functional swallowing in patients after TGL.

Original languageEnglish
Pages (from-to)E120-E124
JournalHead and Neck
Volume41
Issue number7
DOIs
Publication statusPublished - Jul 1 2019

Fingerprint

Quadriceps Muscle
Deglutition
Thigh
Muscles
Constriction
Pharynx
Tongue Neoplasms
Hypoglossal Nerve
Femoral Nerve
Gravitation
Drinking
Mouth
Food

All Science Journal Classification (ASJC) codes

  • Otorhinolaryngology

Cite this

Pharyngeal reconstruction by anterolateral thigh flap with vastus lateralis muscle transfer for effective swallowing after total glossolaryngectomy : A case report. / Kadota, Hideki; Kamizono, Kenichi; Yoshida, Sei; Hanada, Masuo; inatomi, yusuke; Fukushima, Seita; Nakashima, Torahiko; Yasumatsu, Ryuji; Nakagawa, Takashi.

In: Head and Neck, Vol. 41, No. 7, 01.07.2019, p. E120-E124.

Research output: Contribution to journalArticle

@article{3b7f4a36cec84ffe992b3b27b7420a8b,
title = "Pharyngeal reconstruction by anterolateral thigh flap with vastus lateralis muscle transfer for effective swallowing after total glossolaryngectomy: A case report",
abstract = "Background: We report a novel reconstruction technique that maintained effective swallowing after total glossolaryngectomy (TGL) by restoring pharyngeal constriction using a vascularized vastus lateralis muscle transfer. Methods: A 65-year-old male with recurrent tongue cancer underwent TGL and anterolateral thigh flap reconstruction with the vastus lateralis muscle. The bilateral cut ends of the remaining posterior pharyngeal wall constrictor muscle were sutured to the transferred vastus lateralis muscle so that the two muscles encircled the reconstructed pharynx. The femoral nerve of the vastus lateralis muscle was coapted to the hypoglossal nerve. Results: Videofluorographic examination showed the contrast bolus flowing smoothly with little assistance from gravity. Laryngoscopic examination showed circumferential constriction of the reconstructed pharynx. The patient could swallow soft food without placing the bolus in his posterior oral cavity or drinking simultaneously. Conclusion: The restoration of pharyngeal constriction introduces the possibility of functional swallowing in patients after TGL.",
author = "Hideki Kadota and Kenichi Kamizono and Sei Yoshida and Masuo Hanada and yusuke inatomi and Seita Fukushima and Torahiko Nakashima and Ryuji Yasumatsu and Takashi Nakagawa",
year = "2019",
month = "7",
day = "1",
doi = "10.1002/hed.25735",
language = "English",
volume = "41",
pages = "E120--E124",
journal = "Head and Neck Surgery",
issn = "1043-3074",
publisher = "John Wiley and Sons Inc.",
number = "7",

}

TY - JOUR

T1 - Pharyngeal reconstruction by anterolateral thigh flap with vastus lateralis muscle transfer for effective swallowing after total glossolaryngectomy

T2 - A case report

AU - Kadota, Hideki

AU - Kamizono, Kenichi

AU - Yoshida, Sei

AU - Hanada, Masuo

AU - inatomi, yusuke

AU - Fukushima, Seita

AU - Nakashima, Torahiko

AU - Yasumatsu, Ryuji

AU - Nakagawa, Takashi

PY - 2019/7/1

Y1 - 2019/7/1

N2 - Background: We report a novel reconstruction technique that maintained effective swallowing after total glossolaryngectomy (TGL) by restoring pharyngeal constriction using a vascularized vastus lateralis muscle transfer. Methods: A 65-year-old male with recurrent tongue cancer underwent TGL and anterolateral thigh flap reconstruction with the vastus lateralis muscle. The bilateral cut ends of the remaining posterior pharyngeal wall constrictor muscle were sutured to the transferred vastus lateralis muscle so that the two muscles encircled the reconstructed pharynx. The femoral nerve of the vastus lateralis muscle was coapted to the hypoglossal nerve. Results: Videofluorographic examination showed the contrast bolus flowing smoothly with little assistance from gravity. Laryngoscopic examination showed circumferential constriction of the reconstructed pharynx. The patient could swallow soft food without placing the bolus in his posterior oral cavity or drinking simultaneously. Conclusion: The restoration of pharyngeal constriction introduces the possibility of functional swallowing in patients after TGL.

AB - Background: We report a novel reconstruction technique that maintained effective swallowing after total glossolaryngectomy (TGL) by restoring pharyngeal constriction using a vascularized vastus lateralis muscle transfer. Methods: A 65-year-old male with recurrent tongue cancer underwent TGL and anterolateral thigh flap reconstruction with the vastus lateralis muscle. The bilateral cut ends of the remaining posterior pharyngeal wall constrictor muscle were sutured to the transferred vastus lateralis muscle so that the two muscles encircled the reconstructed pharynx. The femoral nerve of the vastus lateralis muscle was coapted to the hypoglossal nerve. Results: Videofluorographic examination showed the contrast bolus flowing smoothly with little assistance from gravity. Laryngoscopic examination showed circumferential constriction of the reconstructed pharynx. The patient could swallow soft food without placing the bolus in his posterior oral cavity or drinking simultaneously. Conclusion: The restoration of pharyngeal constriction introduces the possibility of functional swallowing in patients after TGL.

UR - http://www.scopus.com/inward/record.url?scp=85062961839&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85062961839&partnerID=8YFLogxK

U2 - 10.1002/hed.25735

DO - 10.1002/hed.25735

M3 - Article

C2 - 30861231

AN - SCOPUS:85062961839

VL - 41

SP - E120-E124

JO - Head and Neck Surgery

JF - Head and Neck Surgery

SN - 1043-3074

IS - 7

ER -