Hypopharyngeal diverticulum and the cricopharyngeus muscle: A posterior surgical approach
- 1 October 1979
- journal article
- research article
- Published by Wiley in The Laryngoscope
- Vol. 89 (10) , 1600-1607
- https://doi.org/10.1002/lary.5540891008
Abstract
Hypopharyngeal diverticulum and dysphagia due to cricopharyngeus muscle dysfunction are a continuing challenge to the head and neck surgeon. The ability to completely transect the cricopharyngeus muscle is generally agreed to be the key to successful relief of symptoms, and—to an even greater extent—to prevention of recurrence. In the past, the most significant complications arising from such surgery have been recurrent laryngeal nerve injury and recurrent diverticulum or cricopharyngeus spasm. Both of these problems have been prevented by a modified surgical approach which takes advantage of the relatively bloodless retropharyngeal space. The logic of this posterior approach to the cricopharyngeus, from an anatomic standpoint, coupled with the good visualization and relatively bloodless field when approaching the muscle, suggests that it might be a suitable substitute for the more common lateral approach if continued long-term experience in larger number of cases does not lead to significant complications.Keywords
This publication has 8 references indexed in Scilit:
- Hypopharyngeal diverticulumThe Laryngoscope, 1977
- Cricopharyngeal myotomy in the treatment of dysphagiaThe Laryngoscope, 1975
- Cricopharyngeal myotomy in dysphagiaThe Laryngoscope, 1971
- Cricopharyngeal Myotomy for Pharyngo-Esophageal DiverticulumAnnals of Surgery, 1969
- LIX The Zenker's (Hypopharyngeal) DiverticulumAnnals of Otology, Rhinology & Laryngology, 1969
- The Endoscopic Operation for Hypopharyngeal Diverticula: A Roentgencinematographic StudyJAMA Otolaryngology–Head & Neck Surgery, 1960
- Surgical Treatment of Pulsion Diverticula of the Hypopharynx: One-Stage Resection in 478 Cases* *Mayo Clinic and Mayo Foundation. The Mayo Foundation, Rochester, Minnesota, is a part of the Graduate School of the University of Minnesota.Diseases of the Chest, 1960
- Excision of Diverticulum of the Pharyngo-Esophageal Junction and Lower Esophagus by Means of the One Stage ProcedureAnnals of Surgery, 1956