Pujary K, Agarwal A C, Balakrishnan R, Bhandarkar A
Department of ENT,Kasturba Medical College,Manipal University,Manipal,India.
Department of ENT,Dr Ram Manohar Lohia Institute of Medical Sciences,Lucknow,India.
J Laryngol Otol. 2017 Oct;131(10):930-932. doi: 10.1017/S0022215117001712. Epub 2017 Aug 15.
Dysphagia is a relatively common symptom following laryngectomy. An anterior pharyngeal diverticulum is a rare cause of post-laryngectomy dysphagia. However, it is often an incidental finding on rigid telescopic examination.
This article describes two patients with a symptomatic anterior pharyngeal diverticulum. They were treated by transoral micro-endoscopic potassium titanyl phosphate 532 nm laser assisted resection. Both patients could take feeds orally after the procedure without any difficulty. One patient died one and a half years after the procedure because of secondary lung cancer. The other patient died after three years as a result of regional recurrence. The patients were able to swallow during their survival period post treatment.
Laser-assisted micro-endoscopic resection is a relatively safe, quick and effective procedure for the management of anterior pharyngeal diverticulum.
吞咽困难是喉切除术后相对常见的症状。咽前憩室是喉切除术后吞咽困难的罕见原因。然而，它常在硬性内镜检查中偶然发现。
本文描述了两名有症状的咽前憩室患者。他们接受了经口显微内镜下532纳米磷酸钛氧钾激光辅助切除术治疗。两名患者术后均可经口进食，无任何困难。一名患者术后一年半因继发性肺癌死亡。另一名患者三年后因局部复发死亡。两名患者在治疗后的生存期内均能够吞咽。
激光辅助显微内镜切除术是治疗咽前憩室的一种相对安全、快速且有效的方法。
