Department of Otolaryngology-HNS, University of Texas Health Science Center San Antonio, TX 78229, USA.
Am J Otolaryngol. 2013 May-Jun;34(3):216-8. doi: 10.1016/j.amjoto.2012.12.001. Epub 2013 Jan 11.
The purpose of this study was to assess the role of minimally invasive endoscopic diverticulostomy in patients who develop hypopharyngeal diverticulum after cervical spine surgery/fixation.
This is a retrospective case series of seven patients who underwent endoscopic management of a symptomatic hypopharyngeal diverticulum. The patients were analyzed for diverticulum size, pre-operative and post-operative dysphagia and regurgitation scores, and complications. The overall success with the endoscopic approach was compared to the prior experience with traditional Zenker's diverticulum.
Of the seven patients with hypopharyngeal diverticulum, four were successfully managed with minimally invasive endoscopic diverticulostomy (57%). These four patients all demonstrated clinically significant improvement in both dysphagia and regurgitation scores at a minimum of 6 months postoperatively. Complications were minimal and consisted of one case with postoperative subcutaneous air. There were no cases of fistula, mediastinitis, or nerve injury.
Minimally invasive endoscopic diverticulotomy can be successfully applied to patients who develop hypopharyngeal diverticulum after cervical spine surgery/fixation.
本研究旨在评估微创内镜憩室切开术在颈椎手术后/固定后发生咽后憩室的患者中的作用。
这是对 7 名接受内镜治疗有症状咽后憩室的患者进行的回顾性病例系列研究。对憩室大小、术前和术后吞咽困难和反流评分以及并发症进行了分析。将内镜方法的总体成功率与传统 Zenker 憩室的既往经验进行了比较。
在 7 名咽后憩室患者中，有 4 名（57%）通过微创内镜憩室切开术成功治疗。这 4 名患者在术后至少 6 个月均表现出吞咽困难和反流评分的临床显著改善。并发症很少，只有 1 例术后皮下积气。无瘘管、纵隔炎或神经损伤病例。
微创内镜憩室切开术可成功应用于颈椎手术后/固定后发生咽后憩室的患者。
