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Microlaryngoscopic repair of iatrogenic pharyngeal pouch perforations: Treatment of choice?
Author(s) -
Paleri Vinidh,
Najim Omar,
Meikle David,
Wilson Janet A.
Publication year - 2007
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.20485
Subject(s) - medicine , surgery , pouch , perforation , pharyngeal pouch , complication , head and neck , materials science , punching , metallurgy
Background. Endoscopic stapled diverticulostomy (ESD) has become the preferred technique for managing pharyngeal pouches. Iatrogenic perforation, created during stapling, is a rare but serious complication with significant morbidity and mortality. The conventional management in these instances is to convert it to an external procedure and excise the pouch. Methods. Iatrogenic perforations were noticed after stapling in 3 cases in our series of 73 patients who underwent ESD. They were repaired using microlaryngoscopic techniques. Results. All patients had an unremarkable postoperative course. Conclusions. Selected cases with iatrogenic perforations can be repaired primarily and observed with excellent outcome, obviating the need for an external pouch excision. © 2006 Wiley Periodicals, Inc. Head Neck, 2007