Pharyngeal Pouch Flashcards
What is another term for pharyngeal pouch?
Zenker’s diverticulum
What is pharyngeal pouch?
It is defined as a condition in which there is herniation of the pharynx through Killian’s dehiscence
What is Killian’s dehiscence?
It is a triangular area of the posterior pharyngeal wall, which is located between the thyropharyngeal and cricopharyngeal muscles
What are the two risk factors associated with pharyngeal pouch?
Older Age
Male Gender
What are the five clinical features associated with pharyngeal pouch?
Dysphagia
Regurgitation
Aspiration
Neck Swelling
Halitosis
What is the characteristic feature of dysphagia associated with pharyngeal pouch?
It is described as a sensation in which food is ‘stuck’ in the individual’s throat
What is the characteristic feature of neck swelling associated with pharyngeal pouch?
It gurgles on palpation
What are the two investigations used to diagnose pharyngeal pouch?
Fluoroscopy with Barium Enema
Ultrasound Scan
What is the gold standard investigation used to diagnose pharyngeal pouch?
Fluoroscopy with Barium Enema
What is a feature of pharyngeal pouch on fluoroscopy, with barium enema?
An outpouching of the posterior wall at the junction of the pharynx and oesophagus
At what vertebral level is pharyngeal pouch visualised on fluroscopy, with barium enema?
C5 - C6
When is ultrasound scan used to diagnose pharyngeal pouch?
It is the second line investigation used to diagnose pharyngeal pouch
It is a suitable alternative in cases where individuals present with swallowing difficulties or are intolerant of barium
When is conservative management of pharyngeal pouch recommended?
In cases where individuals are asymptomatic and the pouch measures < 1cm
What are the two surgical management options of pharyngeal pouch?
Trans-Oral Percutaneous Surgery
Cricopharyngeal Myotomy
When is trans-oral percutaneous surgery used to manage pharyngeal pouch?
It is the first line management option
