A 63-year-old man complained of dysphagia. He had had tongue cancer treated by resection of the left half of the tongue and surgical repair with a greater pectoral muscle flap . This time, hypopharyngeal carcinoma was diagnosed and chemotherapy was attempted, but it was not successful. After resection of the hypopharynx, larynx and cervical esophagus, reconstitution was carried out with a left anterolateral thigh flap (AL-T flap). On day 14 after surgery, he was able to eat. The benefits of anterolateral thigh flap are reported, and the literature is reviewed.
