Hostname: page-component-78c5997874-j824f Total loading time: 0 Render date: 2024-11-13T03:31:28.903Z Has data issue: false hasContentIssue false

Extra-pharyngeal neck pathology complicating pharyngeal pouch surgery

Published online by Cambridge University Press:  29 June 2007

J. C. Shotton*
Affiliation:
Departments of Otolaryngology, Kent and Sussex Hospital, Tunbridge Wells TN3 ODA
G. A. Russell
Affiliation:
Departments of Pathology, Kent and Sussex Hospital, Tunbridge Wells TN3 ODA
M. Milton Cathrine
Affiliation:
Departments of Otolaryngology, Kent and Sussex Hospital, Tunbridge Wells TN3 ODA
R. J. Sergeant
Affiliation:
Departments of Otolaryngology, Kent and Sussex Hospital, Tunbridge Wells TN3 ODA
*
J. C. Shotton, F.R.C.S., 6 Newlands, Langton Green, Tunbridge Wells, Kent TN3 ODA

Abstract

One case each of: (1) low grade thyroid lymphoma; (2) supraclavicular and para-oesophageal metastasis of a uterine adenocarcinoma; and (3) recurrent multinodular goitre have been encountered in very intimate relationship with the neck of a pharyngeal pouch within the tracheo-oesophageal gutter raising the possibility that the two conditions were interrelated. The practical importance of these cases is that a surgeon excising a pouch from the neck ought to be able to resect a thyroid lobe should it prove necessary, and occasionally endoscopic diverticulotomy is the only reasonable option.

Type
Clinical Records
Copyright
Copyright © JLO (1984) Limited 1993

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

Bowdler, D. A. (1987) Pharyngeal pouches. In Scott-Brown's Ololaryngology, Vol. 5, Laryngology. 5th Edition, (Kerr, A. G., Stell, P. M., eds.). Butterworths, London, pp 264282Google Scholar
Bowdler, D.A., Stell, P. M. (1987). Carcinoma arising in posterior pulsion diverticulum (Zenker's diverticulum). British Journal of Surgery 74: 561563Google Scholar
Freeland, A. P., Bates, G. J. (1987) The surgical treatment of a pharyngeal pouch: inversion or excision. Annals of the Royal College of Surgeons of England 69:5758Google ScholarPubMed
Korkis, F. B. (1958) The aetiology, diagnosis and surgical treatment of pharyngeal diverticula. Journal of Laryngology and Otology 72:509521CrossRefGoogle ScholarPubMed
Parker, A. J., Hawthorne, M. R. (1988)Endoscopic diverticulotomy versus external diverticulotomy in the treatment of pharyngeal pouch. Journal of the Royal College of Surgeons of Edinburgh 33: 6164Google Scholar