Yücel Levent, Isayev Nurlan, Beton Süha, Gökcan Mustafa Kürşat, Küçük Tarık Babür
Department of Otorhinolaryngology, University of Health Sciences, Gülhane Training and Research Hospital, Ankara, Turkey.
Department of Otorhinolaryngology, Faculty of Medicine, University of Ankara, Ankara, Turkey.
Ear Nose Throat J. 2023 Mar;102(3):153-155. doi: 10.1177/0145561321989433. Epub 2021 Feb 2.
The aim of this case study is to demonstrate the very rare coincidental existence and management of a Killian-Jamieson diverticulum (KJD) during thyroid surgery. A 57-year-old woman was referred to our clinic with a malignant thyroid nodule and the complaint of a sore throat. There were no suspicions concerning a diverticulum on examining her with flexible laryngoscopy or ultrasound imaging. During the right central neck dissection, we noticed a 3 × 3 cm KJD and resected it while preserving the recurrent laryngeal nerve. After the successful operation, we questioned the patient and learned that for 1 year she had an occasional complaint of dysphagia. Postoperatively, there was no vocal cord palsy or hypocalcemia, and there was no pharyngoesophageal leak after oral alimentation. There was no recurrence or complaint for KJD or papillary carcinoma for 8 years follow-up. Nonspecific symptoms like a sore throat should be investigated, and patients should be questioned for all aerodigestive symptoms. If necessary, further investigation should be undertaken for a differential diagnosis.
本病例研究的目的是展示甲状腺手术期间极为罕见的Killian-Jamieson憩室（KJD）的并存情况及处理。一名57岁女性因甲状腺恶性结节及咽痛主诉转诊至我院。通过纤维喉镜检查或超声成像检查她时，未怀疑有憩室。在右侧中央区颈部淋巴结清扫术中，我们发现了一个3×3 cm的KJD，并在保留喉返神经的同时将其切除。手术成功后，我们询问患者，得知她偶尔有吞咽困难的主诉已有1年。术后，未出现声带麻痹或低钙血症，经口进食后也未出现咽食管漏。在8年的随访中，KJD或乳头状癌均无复发或相关主诉。对于咽痛等非特异性症状应进行调查，并询问患者所有的气消化道症状。如有必要，应进一步检查以进行鉴别诊断。
