Sobol S M, Prince K, Cronin D
Division of Otolaryngology, Decatur Memorial Hospital, Illinois.
Head Neck. 1990 Nov-Dec;12(6):520-3. doi: 10.1002/hed.2880120614.
While less common than stricture, recurrent neoplasm, and neuromuscular dysfunction, neopharyngeal diverticulum must be considered in the differential diagnosis of postlaryngectomy dysphagia. Symptoms of difficulty clearing the neopharynx during and after a swallow, with regurgitation of undigested material, should alert the clinician to this possibility. Experience with 3 postlaryngectomy patients with anterior neopharyngeal divericulae serve as the springboard for discussion of the clinical spectrum, radiologic features, contributory pathophysiologic factors, and therapeutic options concerning this condition. Surgical indications, approaches, and potential hazards are reviewed.
虽然咽后憩室不如狭窄、复发性肿瘤和神经肌肉功能障碍常见，但在喉切除术后吞咽困难的鉴别诊断中必须考虑到它。吞咽期间及之后清理咽后的困难症状，伴有未消化物质的反流，应提醒临床医生注意这种可能性。3例喉切除术后出现咽前憩室患者的经验成为讨论这种疾病的临床范围、放射学特征、促成病理生理因素和治疗选择的跳板。本文回顾了手术适应症、手术方法和潜在风险。
