A Zenker diverticulum is an outpouching of the aerodigestive tract between the cricopharyngeus muscle tissue and the inferior constrictor muscle within the anatomic space often known as Killian’s triangle. This diverticulum might trigger regurgitation of meals, unhealthy breath (halitosis), aspiration, weight reduction, and dysphagia, or bother swallowing. Such a difficulty is usually identified with a barium esophagram, or endoscopy.
Surgeons (Drs. Genden, Berger, Chai, Khan, Kirke, Roof, Teng, Urken, Courey, Mori) might repair a Zenker diverticulum endoscopically via the mouth or with a small incision on the neck. Each are very efficient and rely closely on the affected person’s anatomy and the dimensions of the diverticulum. Utilizing an endoscopic stapler or a laser, the wall between the esophageal lumen and the diverticulum is lowered so that there’s a frequent pouch. This fashion, the meals can’t accumulate within the pouch. The pouch may be resected (diverticulectomy) or tacked to a different space (diverticulopexy). A cricopharyngeal myotomy could also be carried out in conjunction. The affected person is often within the hospital for a day or so after guaranteeing that there isn’t a leakage across the restore web site. Sufferers usually follow a modified eating regimen within the days after surgical procedure. Different diverticulae are attainable.
For extra data, go to:
https://www.mountsinai.org/areas/head-neck-institute
The Mount Sinai Otolaryngology Surgical Video Collection was edited by Dr. Zachary Schwam.
