Zenker's diverticulum, a pseudodiverticulum of the esophagus, requires surgical treatment; the classical approach is diverticulectomy and cricopharyngeal myotomy
The role of fibrin sealants throughout surgery is expanding and the use of fibrin has been described to line the repair of cricopharyngeal myotomy
and in tracheal lacerations [9, 10].
The definitive treatment of ZD requires excision of the diverticulum and a cricopharyngeal myotomy
. We report a case of ZD in an old female patient with the diagnostic approach and review of literature.
Finally, the pouch was excised using a 60-mm stapler, and a wide cricopharyngeal myotomy
Stein and colleagues followed 10 patients with COPD using videofluoroscopy who underwent cricopharyngeal myotomy
for restrictions of flow through the pharyngeal esophageal segment (PES) .
The study of 16 patients who required cricopharyngeal myotomy
and Zenker's diverticuloplasty revealed that 9 patients could be successfully treated endoscopically, Dr.
Patients in both groups had undergone cricopharyngeal myotomy
and unilateral pharyngeal neurectomy.
56.5 yr, p = 0.002), there were no significant differences between the two groups in terms of comorbidities or cricopharyngeal myotomy
, tracheoesophageal puncture, or neck dissection.
The patient was taken to the operating room, where she underwent endoscopic packing of the diverticulum followed by an external diverticulum excision and cricopharyngeal myotomy
. Postoperatively, her symptoms resolved completely.
(1) His initial surgery had been performed 2 decades earlier; at that time, he underwent a cricopharyngeal myotomy
and suspension of the diverticulum superiorly to the cervical fascia (diverticulopexy).
The patient underwent an endoscopic cricopharyngeal myotomy
with the carbon dioxide (C[O.sub.2]) laser (figure, B and C).
The patient was offered a laryngeal suspension, cricopharyngeal myotomy
, and neurorrhaphy of the great auricular and superior laryngeal nerves, but she declined for personal reasons.