A 62-year-old man presented 4 years after a laryngectomy and radiation therapy with an intermittent midline neck mass that would enlarge with swallowing. Examination demonstrated an air-filled sac superior to his stoma (figure 1). Barium swallow demonstrated its connection with the neopharynx. Endoscopic examination showed no distal stricture or cricopharyngeus muscle. The sac was dissected from the subcutaneous tissue and was amputated with an external stapler device (figure 2). The patient did well, with resolution of his neopharyngeal diverticulum.
This is a unique example of a pulsion diverticulum following a laryngectomy. We expected to find an obstructive stricture or cricopharyngeus muscle as the cause, but none was found upon barium swallow or endoscopic examination.
Rebecca J. Howell, MD; Gregory N. Postma, MD
From the Center for Voice, Airway and Swallowing Disorders, Department of Otolaryngology, Georgia Health Sciences University, Augusta.
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|Title Annotation:||DYSPHAGIA CLINIC|
|Author:||Howell, Rebecca J.; Postma, Gregory N.|
|Publication:||Ear, Nose and Throat Journal|
|Article Type:||Brief article|
|Date:||Aug 1, 2014|
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