Marina Brimioulle1, Rogan Corbridge2, Mahmoud Elsayed2. 1. Ears, Nose and Throat Department, Royal Berkshire Hospital, London Road, Reading, RG1 5AN, UK. Marina.brimioulle@gmail.com. 2. Ears, Nose and Throat Department, Royal Berkshire Hospital, London Road, Reading, RG1 5AN, UK.
Abstract
BACKGROUND: Pharyngeal pouches are generally treated with surgery, via either an endoscopic or an external approach. Large pouches extending to the mediastinum carry an increased risk of post-operative mediastinitis in the event of a leak following external approach surgery, and may not always be amenable to endoscopic stapling. METHODS: Transcervical stapling is a newly described technique that uses the endoluminal stapling approach but in which the diverticuloscope is inserted into the pharynx via a neck incision. CONCLUSIONS: This technique has been used successfully on three patients with large pharyngeal pouches, where endoscopic stapling was not possible due to access limitations.
BACKGROUND: Pharyngeal pouches are generally treated with surgery, via either an endoscopic or an external approach. Large pouches extending to the mediastinum carry an increased risk of post-operative mediastinitis in the event of a leak following external approach surgery, and may not always be amenable to endoscopic stapling. METHODS: Transcervical stapling is a newly described technique that uses the endoluminal stapling approach but in which the diverticuloscope is inserted into the pharynx via a neck incision. CONCLUSIONS: This technique has been used successfully on three patients with large pharyngeal pouches, where endoscopic stapling was not possible due to access limitations.
Authors: Neel K Bhatt; Joshua Mendoza; Dorina Kallogjeri; Angela C Hardi; Joseph P Bradley Journal: JAMA Otolaryngol Head Neck Surg Date: 2021-02-01 Impact factor: 6.223