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Laser-assisted management of a symptomatic anterior pharyngeal diverticulum

Published online by Cambridge University Press:  15 August 2017

K Pujary ,
A C Agarwal ,
R Balakrishnan  and
A Bhandarkar
K Pujary
Affiliation:
Department of ENT, Kasturba Medical College, Manipal University, Manipal, India
A C Agarwal*
Affiliation:
Department of ENT, Dr Ram Manohar Lohia Institute of Medical Sciences, Lucknow, India
R Balakrishnan
Affiliation:
Department of ENT, Kasturba Medical College, Manipal University, Manipal, India
A Bhandarkar
Affiliation:
Department of ENT, Kasturba Medical College, Manipal University, Manipal, India
*
Address for correspondence: Dr Ashish Chandra Agarwal, Dept of ENT, Dr Ram Manohar Lohia Institute of Medical Sciences, Lucknow, Uttar Pradesh, India E-mail: ashishagr3@rediffmail.com
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Abstract

Background:

Dysphagia is a relatively common symptom following laryngectomy. An anterior pharyngeal diverticulum is a rare cause of post-laryngectomy dysphagia. However, it is often an incidental finding on rigid telescopic examination.

Methods and results:

This article describes two patients with a symptomatic anterior pharyngeal diverticulum. They were treated by transoral micro-endoscopic potassium titanyl phosphate 532 nm laser assisted resection. Both patients could take feeds orally after the procedure without any difficulty. One patient died one and a half years after the procedure because of secondary lung cancer. The other patient died after three years as a result of regional recurrence. The patients were able to swallow during their survival period post treatment.

Conclusion:

Laser-assisted micro-endoscopic resection is a relatively safe, quick and effective procedure for the management of anterior pharyngeal diverticulum.

Keywords

DiverticulumDysphagiaLaryngectomyLasers
Type
Short Communication
Information
The Journal of Laryngology & Otology , Volume 131 , Issue 10 , October 2017 , pp. 930 - 932
Copyright
Copyright © JLO (1984) Limited 2017 

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Footnotes

Presented at the Mid-term National ENT Conference, 27–29 May 2016, Madikeri, India.

References

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