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1 results

  • Utility of transcervical management of Zenker's diverticulum

  • B Jackson, Z Ahmad, R P Morton
  • Journal:
    The Journal of Laryngology & Otology / Volume 130 / Issue S1 / January 2016
    Published online by Cambridge University Press:
    26 November 2015, pp. S16-S19
    Print publication:
    January 2016
  • 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.