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Surgical treatment of Zenker's diverticulum

Published online by Cambridge University Press:  29 June 2007

K. Aggerholm  and
P. Illum
K. Aggerholm*
Affiliation:
Aarhus, Denmark
P. Illum
Affiliation:
Aarhus, Denmark
*
Kirsten Aggerholm, M.D., Højmarksvej 6, DK-8270 Højbjerg, Denmark
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Abstract

One-hundred-and-fifty patients with Zenker's diverticulum were reviewed; twelve patients received no treatment; 26 patients were treated endoscopically by dilatation, five of these had a diverticulectomy performed at a later stage.

One-hundred-and-ten patients had a diverticulectomy performed (a total of 115 primary operations were performed). Eighteen of the patients operated upon had a recurrence and six underwent re-operation.

Local complications occurred in 24 patients. Seven patients had a fistula and two had mediastinitis. Ten patients had recurrent nerve palsy, of which five were permanent. Thirteen patients had other complications, usually infection. One death occurred.

Post-operative prophylactic treatment with antibiotics was found to significantly reduce the number of local infectious complications and a correlation was found between the occurrence of local, infectious complications and later recurrence of the pouch.

Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 104 , Issue 4 , April 1990 , pp. 312 - 314
Copyright
Copyright © JLO (1984) Limited 1990

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