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March 1988

Diverticulopexy and Cricopharyngeal Myotomy: Optimal Treatment of the High-risk Patient With a Pharyngoesophageal Diverticulum

Arch Otolaryngol Head Neck Surg. 1988;114(3):237. doi:10.1001/archotol.1988.01860150019001

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Paul M. Konowitz and Hugh F. Biller, Mount Sinai Hospital, New York, reported ten years of experience with treatment of pharyngoesophageal diverticulum. The report was presented on Sept 22, 1987, at the national meeting of the American Academy of Otolaryngology–Head Neck Surgery in Chicago. Among patients who required surgical treatment of symptomatic Zenker's diverticula, there were few complications associated with resection of the pouch at the pharyngoesophageal junction. However, for patients with increased risk of complications associated with advanced age, debilitation, medical illnesses, or extent of the diverticula, the authors advocate the use of simple diverticulopexy with cricopharyngeal myotomy. They reviewed the technique for simple redirection of the diverticular sac after sectioning of the cricopharyngeal muscle fibers.

The results for this procedure were good, with no recurrence of symptoms. Drs Konowitz and Biller pointed out several advantages of the simpler procedure that avoids delays in feeding, ambulation, and return

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