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Bilateral vocal fold paresis after endoscopic stapling diverticulotomy for zenker's diverticulum
Author(s) -
Thorne Marc,
Harris Philip,
Marcus Keith,
Teknos Theodoros N.
Publication year - 2004
Publication title -
head and neck
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.012
H-Index - 127
eISSN - 1097-0347
pISSN - 1043-3074
DOI - 10.1002/hed.10357
Subject(s) - medicine , zenker's diverticulum , surgery , paresis , diverticulum (mollusc) , complication , dysphagia
Abstract Background. Zenker's diverticulum may be treated with a variety of surgical techniques. Endoscopic methods, specifically endoscopic stapling diverticulotomy, have gained increasing acceptance because of shorter operative times, decreased morbidity, with shorter hospital stays and time to resumption of oral feedings. Methods and Results. We report the occurrence of bilateral vocal fold paresis after endoscopic stapling diverticulotomy for Zenker's diverticulum, previously unreported in the literature. This complication likely resulted from traction on the recurrent laryngeal nerves secondary to unfavorable patient anatomy. Conclusions. Endoscopic stapling diverticulotomy is a safe and effective treatment method for Zenker's diverticulum and remains our procedure of choice for most patients. However, inability to safely expose the diverticulum endoscopically results in a significant abandonment rate for attempted procedures and may result in significant postoperative complications.© 2004 Wiley Periodicals, Inc. Head Neck 26 : 294–297, 2004