Pharyngeal reconstruction by anterolateral thigh flap with vastus lateralis muscle transfer for effective swallowing after total glossolaryngectomy: A case report.
Head Neck
; 41(7): E120-E124, 2019 07.
Article
em En
| MEDLINE
| ID: mdl-30861231
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.Palavras-chave
Texto completo:
1
Bases de dados:
MEDLINE
Assunto principal:
Músculos Faríngeos
/
Faringe
/
Transtornos de Deglutição
/
Músculo Quadríceps
/
Retalhos de Tecido Biológico
Tipo de estudo:
Etiology_studies
Limite:
Aged
/
Humans
/
Male
Idioma:
En
Revista:
Head Neck
Assunto da revista:
NEOPLASIAS
Ano de publicação:
2019
Tipo de documento:
Article
País de afiliação:
Japão