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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: randall.morton@middlemore.co.nz
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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 

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References

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