Hostname: page-component-cd9895bd7-dk4vv Total loading time: 0 Render date: 2024-12-23T18:34:11.630Z Has data issue: false hasContentIssue false
  • English
  • Français

Utility of transcervical management of Zenker's diverticulum

Published online by Cambridge University Press:  26 November 2015

B Jackson ,
Z Ahmad  and
R P Morton
B Jackson
Affiliation:
Department of Otolaryngology – Head and Neck Surgery, Counties Manukau Health, Manukau City, Auckland, New Zealand, and the Department of Surgery, University of Auckland
Z Ahmad
Affiliation:
Department of Otolaryngology – Head and Neck Surgery, Counties Manukau Health, Manukau City, Auckland, New Zealand, and the Department of Surgery, University of Auckland
R P Morton*
Affiliation:
Department of Otolaryngology – Head and Neck Surgery, Counties Manukau Health, Manukau City, Auckland, New Zealand, and the Department of Surgery, University of Auckland
*
Address for correspondence: Professor Randall Morton, Department of Otolaryngology – Head and Neck Surgery, PO Box 98743, SAMC, Manukau City, Auckland, New Zealand Fax: +64 (0)9 277 1634 E-mail: [email protected]
Get access Rights & Permissions [Opens in a new window]

Abstract

Objective:

To evaluate our results in treating Zenker's diverticulum via the transcervical approach, and to compare our experiences with a recent systematic review of both open and endoscopic approaches to the pharyngeal pouch.

Method:

An audit yielded 41 consecutive cases of Zenker's diverticulum treated between 2003 and 2013.

Results:

All 41 patients underwent transcervical cricopharyngeal myotomy; 29 sacs also required ‘inversion’. The median and mean length of hospital stay was 1 night and 2.5 nights respectively. The recurrence rate was 2.4 per cent and the complication rate was 9.8 per cent.

Conclusion:

When compared to reported endoscopic techniques, transcervical cricopharyngeal myotomy (with or without inversion) in our unit resulted in: shorter hospital stay, a comparable complication rate and fewer recurrences.

Keywords

Zenker DiverticulumLength Of StayRecurrencePharyngeal Pouch SyndromeInversionEndoscopic Stapling
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 130 , Issue S1 , January 2016 , pp. S16 - S19
Copyright
Copyright © JLO (1984) Limited 2015 

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

1Siddiq, MA, Sood, S. Current management in pharyngeal pouch surgery by UK otorhinolaryngologists. Ann R Coll Surg Engl 2004;86:247–52CrossRefGoogle ScholarPubMed
2Mantsopoulos, K, Psychogios, G, Kunzel, J, Zenk, J, Iro, H, Koch, M. Evaluation of the different transcervical approaches for Zenker diverticulum. Otolaryngol Head Neck Surg 2012;146:725–9CrossRefGoogle ScholarPubMed
3Simić, A, Gurski, R, Pesko, P. The story beyond the Zenker's pouch. Acta Chir Iugosl 2009;56:9–16Google ScholarPubMed
4Verdonck, J, Morton, R. Systematic review on treatment of Zenker's diverticulum. Eur Arch Otorhinolaryngol 2015;272:3095–107CrossRefGoogle ScholarPubMed
5Leibowitz, JM, Fundakowski, CE, Abouyared, M, Rivera, A, Rudman, J, Lo, KM et al. Surgical techniques for Zenker's diverticulum: a comparative analysis. Otolaryngol Head Neck Surg 2014;151:52–8Google Scholar