Zenker diverticulum

Otolaryngol Clin North Am. 2013 Dec;46(6):1101-11. doi: 10.1016/j.otc.2013.08.011. Epub 2013 Oct 10.

Abstract

This article introduces the pathogenesis and relevant anatomy of Zenker diverticulum. The clinical symptoms and relevant investigation are presented along with the various therapeutic interventions including open and endoscopic approaches. Techniques to perform the myotomy and diverticulectomy are expanded on and include traditional suture ligation, endoscopic stapling devices, microlaryngoscopic CO2 laser and flexible LISA laser. The article concludes with a management algorithm for this entity based on the size of the diverticulum.

Keywords: CO(2) laser; Diverticulectomy; Diverticulum; Endoscopic stapling; Killian triangle; Myotomy; Zenker diverticulum.

MeSH terms

  • Age Factors
  • Deglutition Disorders / etiology
  • Disease Management
  • Endoscopy / methods*
  • Esophageal Sphincter, Upper / physiopathology*
  • Halitosis / etiology
  • Humans
  • Laryngopharyngeal Reflux / etiology
  • Outcome Assessment, Health Care
  • Pharyngeal Muscles* / physiopathology
  • Pharyngeal Muscles* / surgery
  • Sex Factors
  • Zenker Diverticulum* / complications
  • Zenker Diverticulum* / diagnosis
  • Zenker Diverticulum* / etiology
  • Zenker Diverticulum* / physiopathology
  • Zenker Diverticulum* / therapy