Zenker's diverticulum: Analysis of surgical complications from diverticulectomy and cricopharyngeal myotomy

Authors

  • Marc A. Feeley MD,

    Corresponding author
    1. Department of Otolaryngology—Head and Neck Surgery, Indiana University Medical Center, Indianapolis, Indiana
    • Department of Otolaryngology—Head and Neck Surgery, 702 Barnhill Drive, Suite 0869, Indianapolis, Indiana 46202, U.S.A
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  • Paul D. Righi MD,

    1. Department of Otolaryngology—Head and Neck Surgery, Indiana University Medical Center, Indianapolis, Indiana
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  • Edward C. Weisberger MD,

    1. Department of Otolaryngology—Head and Neck Surgery, Indiana University Medical Center, Indianapolis, Indiana
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  • Ronald C. Hamaker MD,

    1. Head and Neck Surgery Associates, Roudebush Veteran's Administration Hospital, Indianapolis, Indiana
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  • Thomas J. Spahn MD,

    1. Otolaryngology Associates, Roudebush Veteran's Administration Hospital, Indianapolis, Indiana
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  • Shokri Radpour MD,

    1. Methodist Hospital, and the Department of Otolaryngology—Head and Neck Surgery, Roudebush Veteran's Administration Hospital, Indianapolis, Indiana
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  • Michael K. Wynne PhD

    1. Department of Otolaryngology—Head and Neck Surgery, Indiana University Medical Center, Indianapolis, Indiana
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  • Presented at the Meeting of the Middle Section of the American Laryngological, Rhinological and Otological Society, Inc., Milwaukee, Wisconsin, January 24, 1999.

Abstract

Objective: To identify risk factors for postoperative complications in patients undergoing diverticulectomy and cricopharyngeal (CP) myotomy for Zenker's diverticulum. Study Design: Retrospective. Materials and Methods: A chart review was conducted of all patients with a Zenker's diverticulum who were treated with diverticulectomy and cricopharyngeal myotomy at three tertiary care centers in central Indiana between 1988 and 1998. Results: Of the 24 patients identified, 9 developed postoperative complications (2 medical and 7 surgical). Statistical analysis of multiple potential risk factors revealed that only diverticulum size greater than 10 cm2 at surgery placed the patient at increased risk for postoperative surgical complications. To our knowledge, this is the first report that has specifically addressed diverticulum size as an independent risk factor for postoperative surgical complications following diverticulectomy and CP myotomy. Conclusions: Given our findings, we recommend considering diverticulopexy rather than diverticulectomy in a patient with a Zenker's diverticulum greater than 10 cm2 in size if a cervical approach is the selected treatment. Key Words: Zenker's diverticulum, cricopharyngeal myotomy, surgical complications, diverticulectomy.

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