Laimer’s Diverticulum, A Rare True Diverticulum Inferior to the Cricopharyngeus: Report of a Case and Review of the Literature

Nguyen, Duy Thong; Moslemi, Mohammad Kazem; Rawashdeh, Badi; Meyer, Mark; Garagozlo, Cameron; Golestani, Simin; Tempesta, Barbara; Maas, Keith; Yousufzai, Abdul Wali; Gharagozloo, Farid

doi:10.4172/2165-7920.1000423

Cited by 3 publications

(3 citation statements)

References 9 publications

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“…5,22 This cohort did not include any LD, which are only referenced in few case reports. 7,24 Other hypopharyngeal diverticula include iatrogenic, also described as a "Zenker-like" diverticulum, or a traction type, most often associated with cervical spine surgery. 25 Only three patients were reported as an iatrogenic or traction type despite a 22% incidence of prior neck surgery.…”

Section: Discussionmentioning

confidence: 99%

“…Even more rare is the LD, distinguished by its location, midline, and broad base as opposed to KJD which is lateral with a narrow neck, but both are inferior to the CPM 5,22 . This cohort did not include any LD, which are only referenced in few case reports 7,24 . Other hypopharyngeal diverticula include iatrogenic, also described as a “Zenker‐like” diverticulum, or a traction type, most often associated with cervical spine surgery 25 .…”

Section: Discussionmentioning

confidence: 99%

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Cricopharyngeus Muscle Dysfunction and Hypopharyngeal Diverticula (e.g., Zenker): A Multicenter Study

Howell,

Ekbom,

Kasperbauer

et al. 2022

The Laryngoscope

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Objective To describe demographics and imaging and compare findings and symptoms at presentation in a large cohort of persons with cricopharyngeus muscle dysfunction (CPMD) with and without hypopharyngeal diverticula. Methodology Prospective, multicenter cohort study of all individuals enrolled in the Prospective OUtcomes of Cricopharyngeal Hypertonicity (POUCH) Collaborative. Patient survey, comorbidities, radiography, laryngoscopy findings, and patient‐reported outcome measures (e.g., Eating Assessment Tool [EAT‐10]) data were abstracted from a REDCap database and summarized using means, medians, percentages, and frequencies. Diagnostic categories were compared using analysis of variance. Results A total of 250 persons were included. The mean age (standard deviation [SD]) of the cohort was 69.0 (11.2). Forty‐two percent identified as female. Zenker diverticula (ZD) was diagnosed in 85.2%, 9.2% with CPMD without diverticula, 4.4% with a Killian Jamieson diverticula (KJD), and 1.2% traction‐type diverticula. There were no differences between diagnostic categories in regard to age, gender, and duration of symptoms (p = 0.25, 0.19, 0.45). The mean (SD) EAT‐10 score for each group was 17.1 (10.1) for ZD, 20.2 (9.3) for CPMD, and 10.3 (9.4) for KJD. Patients with isolated CPMD had significantly greater EAT‐10 scores compared to the other diagnostic groups (p = 0.03). Conclusion ZD is the most common, followed by CPMD without diverticula, KJD, and traction‐type. Patients with isolated obstructing CPMD may be more symptomatic than persons with ZD or KJD. Level of Evidence 4 Laryngoscope, 133:1349–1355, 2023

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Cricopharyngeus Muscle Dysfunction and Hypopharyngeal Diverticula (e.g., Zenker): A Multicenter Study

Howell,

Ekbom,

Kasperbauer

et al. 2022

The Laryngoscope

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“…After identifying the cricopharyngeal muscle superior to the diverticulum, diverticulectomy was undertaken and the cervical esophagus was repaired with three la yers of manual sutures. Nguyen dissected the diverticulum and conducted a myotomy just distal to the inferior margin of the diverticulum, e xtending it 3 cm distally (26). The last method was the most similar to the technique implemented in our case report.…”

Section: Discussionmentioning

confidence: 90%

Surgical Excision of a Laimer’s Diverticulum: A Case Report and Review of the Literature

TSIKOPOULOS,

PACHIADAKIS,

KARKOS

et al. 2024

Maedica

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A pharyngoesophageal diverticulum (PED) is a rare clinical entity. This paper reports on a 79-year-old male patient with PED and symptoms of dysphagia, regurgitation and chronic cough. The diverticulum was located on the dorsal side of the cervical esophagus, midline, inferior to the cricopharyngeal muscle. These findings were consistent with Laimer's diverticulum (LD), the rarest type of PED. This case proposes a surgical treatment of LD via an external transcervical approach.

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