Anterior neopharyngeal pseudodiverticulum

Oursin, C.; Pitzer, G.; Fournier, Pierre; Bongartz, Georg; Steinbrich, W.

doi:10.1016/s0899-7071(98)00032-1

Cited by 12 publications

(19 citation statements)

References 9 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The reported incidence of postoperative dysphagia varies from 17 to 72% [1, 5, 6]. This symptom has several causes, such as tumour recurrence, pharyngeal dysmotility, stricture formation, pharyngocutaneous fistulas, and postoperative radiotherapy but also the formation of a pseudo-diverticulum [7–9]. The pseudo-diverticulum is an anteriorly located mucosalized pouch of the neopharyngeal lumen, situated at the base of the tongue (Fig.…”

Section: Introductionmentioning

confidence: 99%

“…The pseudo-diverticulum is an anteriorly located mucosalized pouch of the neopharyngeal lumen, situated at the base of the tongue (Fig. 1) [7, 10, 12]. The kind of dysphagia that it can cause can be obstructive, the feeling of having to “swallow over a hump” or with a typical regurgitative character similar to the dysphagia found in patients with a Zenker’s diverticulum [10].…”

Section: Introductionmentioning

confidence: 99%

“…According to relevant literature the incidence ranges from 35 to 86% [7–9, 13, 14]. Although the possible association between closure technique in laryngectomy, pseudo-diverticulum and postoperative dysphagia has been described before, little scientific research has been published on this topic.…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

The influence of closure technique in total laryngectomy on the development of a pseudo-diverticulum and dysphagia

Kamp

Rinkel

Eerenstein

2016

Eur Arch Otorhinolaryngol

View full text Add to dashboard Cite

ObjectiveIn total laryngectomy, the neopharynx can be closed in several ways. It is suggested that a pseudo-diverticulum is seen more frequently in patients closed with vertical closure than with “T”-shaped closure, causing postoperative dysphagia. We report the results of patients treated with vertical closure and “T”-shaped closure with regard to the formation of a pseudo-diverticulum and postoperative dysphagia.MethodsIn our retrospective cohort study, we identified 117 consecutive laryngectomized patients treated in the VU University Medical Center of Amsterdam between March 2009 and December 2013. Evaluations with statistical analysis of postoperative outcome measures (the formation of a pseudo-diverticulum and dysphagia), qualitative and quantitative variables were conducted.ResultsPatient demographics were similar between the vertical-shaped closure and the “T”-shaped closure groups. In 84.6% of patients with vertical closure, a pseudo-diverticulum was seen compared to 18.5% with “T”-shaped closure (p < 0.001). Dysphagia was increasingly seen in patients with a pseudo-diverticulum (60.5%) compared to patients without a pseudo-diverticulum (39.5%) (p = 0.090).ConclusionFormation of a pseudo-diverticulum is more frequently seen in laryngectomy patients closed with vertical closure than in patients closed with “T”-shaped closure of the neopharynx. It is favorable to implement “T”-shaped closure in laryngectomy.

show abstract

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

The influence of closure technique in total laryngectomy on the development of a pseudo-diverticulum and dysphagia

Kamp

Rinkel

Eerenstein

2016

Eur Arch Otorhinolaryngol

View full text Add to dashboard Cite

show abstract

“…The body of literature on treatment effects of OD after TLE remains poor and there is no consensus on the diagnosis and treatment of OD for this population [434]. Some studies showed preliminary promising results of botulinum toxin injections, endoscopic dilatations, and TOLS [441][442][443][444][445][446][447][448]. However, significant treatment effects or trends of these techniques were not found.…”

Section: Oropharyngeal Dysphagia Following Total Laryngectomymentioning

confidence: 99%

European white paper: oropharyngeal dysphagia in head and neck cancer

Baijens

Walshe

Aaltonen

et al. 2020

Eur Arch Otorhinolaryngol

103

View full text Add to dashboard Cite

Purpose To develop a European White Paper document on oropharyngeal dysphagia (OD) in head and neck cancer (HNC). There are wide variations in the management of OD associated with HNC across Europe. Methods Experts in the management of specific aspects of OD in HNC across Europe were delegated by their professional medical and multidisciplinary societies to contribute to this document. Evidence is based on systematic reviews, consensus-based position statements, and expert opinion. Results Twenty-four sections on HNC-specific OD topics. Conclusion This European White Paper summarizes current best practice on management of OD in HNC, providing recommendations to support patients and health professionals. The body of literature and its level of evidence on diagnostics and treatment for OD in HNC remain poor. This is in the context of an expected increase in the prevalence of OD due to HNC in the near future. Contributing factors to increased prevalence include aging of our European population (including HNC patients) and an increase in human papillomavirus (HPV) related cancer, despite the introduction of HPV vaccination in various countries. We recommend timely implementation of OD screening in HNC patients while emphasizing the need for robust scientific research on the treatment of OD in HNC. Meanwhile, its management remains a challenge for European professional associations and policymakers.

show abstract

“…Small defects are usually repaired using straight lines, while in larger defects, mucosal repair often results in a T-shaped line (Figure 2). Caution should be exercised when applying the vertical line closure since surplus tissue at the midline of the neopharynx can create a pseudo-diverticulum [63], which can cause postoperative dysphagia [64,65]. The pseudo-diverticulum occurs less often when applying the T-shaped closure (84.6% in vertical closure and 18.5% in T-shaped closure) [63].…”

Section: The Mucosal Layermentioning

confidence: 99%

Total Laryngectomy: A Review of Surgical Techniques

Chotipanich

2021

Cureus

View full text Add to dashboard Cite

Since the first total laryngectomy was performed in the late 18th century, several improvements and variations in surgical techniques have been proposed for this procedure. The surgical techniques employed in total laryngectomy have not been comprehensively discussed to date. Thus, the main objective of this article was to address controversial aspects related to this procedure and compare different surgical techniques used for a total laryngectomy procedure from the beginning to the end.Although the management paradigms in laryngeal and hypopharyngeal squamous cell carcinomas have shifted to organ-preserving chemoradiotherapy protocols, total laryngectomy still plays a prominent role in the treatment of advanced and recurrent tumors. The increased incidence of complications associated with salvage total laryngectomy has driven efforts to improve the surgical techniques in various aspects of the operation. Loss of voice and impaired swallowing are the most difficult challenges to be overcome in laryngectomies, and the introduction of tracheoesophageal voice prostheses has made an enormous difference in postoperative rehabilitation and quality of life. Advancements in reconstruction techniques, tumor control, and metastatic management, such as prophylactic neck treatments and paratracheal nodal dissection (PTND), as well as the use of thyroid gland-preserving total laryngectomy in selected patients have all led to the increasing success of modern total laryngectomy. Several conclusions regarding the benchmarking of surgical techniques cannot be drawn. Issues regarding total laryngectomy are still open for discussion, and the technique will continue to require improvement in the near future.

show abstract

Anterior neopharyngeal pseudodiverticulum

Cited by 12 publications

References 9 publications

The influence of closure technique in total laryngectomy on the development of a pseudo-diverticulum and dysphagia

The influence of closure technique in total laryngectomy on the development of a pseudo-diverticulum and dysphagia

European white paper: oropharyngeal dysphagia in head and neck cancer

Total Laryngectomy: A Review of Surgical Techniques

Contact Info

Product

Resources

About