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Laser-assisted management of a symptomatic anterior pharyngeal diverticulum

  • K Pujary (a1), A C Agarwal (a2), R Balakrishnan (a1) and A Bhandarkar (a1)

Abstract

Background:

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.

Methods and results:

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.

Conclusion:

Laser-assisted micro-endoscopic resection is a relatively safe, quick and effective procedure for the management of anterior pharyngeal diverticulum.

Copyright

Corresponding author

Address for correspondence: Dr Ashish Chandra Agarwal, Dept of ENT, Dr Ram Manohar Lohia Institute of Medical Sciences, Lucknow, Uttar Pradesh, India E-mail: ashishagr3@rediffmail.com

Footnotes

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Presented at the Mid-term National ENT Conference, 27–29 May 2016, Madikeri, India.

Footnotes

References

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1 Jaber, JJ, Greenbaum, ES, Sappington, JM, Burgette, RC, Kramer, SS, Borrowdale, RW. Postlaryngectomy dysphagia masking as velopharyngeal insufficiency: a simple solution for an anterior neopharyngeal diverticulum. Am J Otolaryngol 2012;33:367–9
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3 Lippert, BM, Folz, BJ, Rudert, HH, Werner, JA. Management of Zenker's diverticulum and postlaryngectomy pseudodiverticulum with CO2 laser. Otolaryngol Head Neck Surg 1999;121:809–14
4 Kirchner, JA, Scatliff, JH. Disabilities resulting from healed salivary fistula. Arch Otolaryngol 1962;75:60–8
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7 Lippert, BM, Folz, BJ, Gottschlich, S, Werner, JA. Microendoscopic treatment of the hypopharyngeal diverticulum with CO2 laser. Lasers Surg Med 1997;20:394401
8 Hartey, C, Saeed, SR, Farrington, WT. Post-laryngectomy neopharyngeal diverticulae. J Laryngol Otol 1994;108:479–83
9 Gacek, RR. Management of vallecular pseudodiverticulum. Ann Otol 1980;89:201–3

Keywords

Laser-assisted management of a symptomatic anterior pharyngeal diverticulum

  • K Pujary (a1), A C Agarwal (a2), R Balakrishnan (a1) and A Bhandarkar (a1)

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