Morphometric and anthropometric analysis of Killian's triangle

Abstract

The frequency and the dimensions of Killian's triangle appear to be greater in males than in females. Furthermore, the morphometric characteristics of the dehiscence show a correlation with the anthropometric features of the person. These findings can be an explanation for the higher incidence of Zenker's diverticulum with men and for the geographical differences of the diverticulum's frequency.

Killian’s is it a True Dehiscence? An Anatomical Perspective

“…They described the existence of a triangle in 9 out of 15 males and 11 out of 32 females. However, none of their specimens had a pharyngeal pouch [7].…”

Upper esophageal sphincter dysfunction: diverticula–globus pharyngeus

“…Analysis of surgical case series revealed that ZD is more common in tall persons with longer necks, as they have larger Killian's triangles . In addition, anatomic studies on cadavers showed that Killian's triangle is only found in 28–42% of the population; moreover, one of these studies showed that Killian's triangle is more common in individuals who are taller and with a longer neck …”

Long-term symptom control after endoscopic laser-assisted diverticulotomy of Zenker's diverticulum

“…The pharyngoesophageal or Zenker's diverticulum (ZD) is created by herniation of the mucosa and submucosa through the weak area of Killian's dehiscence in the pharyngoesophageal segment [1]. Abnormalities of the physiology of swallowing and local anatomical factors as well contribute to the development of ZD [2][3][4].…”