UCI Health Voice and Swallowing Center, Department of Otolaryngology Head and Neck Surgery, University of California Irvine School of Medicine, CA, United States of America.
Cleveland Clinic Voice Center, Cleveland Clinic Head and Neck Institute, OH, United States of America.
Am J Otolaryngol. 2021 Jan-Feb;42(1):102755. doi: 10.1016/j.amjoto.2020.102755. Epub 2020 Oct 17.
This study identifies how recurrent Zenker's diverticula are treated.
A retrospective chart review was performed from four tertiary referral academic voice and swallowing centers to identify individuals who underwent surgery for recurrent Zenker's diverticulum. Demographic data, surgical modalities for primary and revision surgery, symptoms pre and post revision and complications were recorded.
56 individuals met inclusion criteria. Primary surgery was open in 30.3% (n = 17) and endoscopic in 69.6% (n = 39). Revision surgery was performed via an open approach in 37.5% of cases (N = 21) and via an endoscopic approach in 62.5% of cases (N = 35). Revision surgical technique was based on pouch size, patient age and comorbidities, as well as patient and surgeon preference. There were no major complications and few minor complications.
Zenker's diverticulum symptoms can recur regardless of primary treatment modality. Both endoscopic and open approaches can safely treat recurrent Zenker's diverticula.
本研究旨在确定复发性Zenker 憩室的治疗方法。
对四家三级转诊学术嗓音和吞咽中心的病历进行回顾性分析，以确定接受复发性Zenker 憩室手术的患者。记录人口统计学数据、初次和再次手术的手术方式、术前和术后症状以及并发症。
56 名符合纳入标准的患者。初次手术采用开放性手术者占 30.3%（n=17），采用内镜下手术者占 69.6%（n=39）。再次手术中，37.5%（n=21）采用开放性入路，62.5%（n=35）采用内镜下入路。再次手术的手术方式取决于憩室囊大小、患者年龄和合并症，以及患者和外科医生的偏好。无重大并发症，少数患者出现轻微并发症。
Zenker 憩室症状无论初次治疗方式如何都可能复发。内镜下和开放性手术均可安全治疗复发性Zenker 憩室。
