Pharyngesophageal Diverticula Following Anterior Cervical Discectomy and Fusion
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Beesley, Hassan
[1
]
Piraquive, Jacquelyn
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Boston Med Ctr, Dept Otolaryngol Head & Neck Surg, Boston, MA USABoston Univ, Sch Med, Boston, MA 02118 USA
Piraquive, Jacquelyn
[2
]
Jaleel, Zaroug
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Boston Univ, Sch Med, Boston, MA 02118 USABoston Univ, Sch Med, Boston, MA 02118 USA
Jaleel, Zaroug
[1
]
Tracy, Lauren F.
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Boston Univ, Sch Med, Boston, MA 02118 USA
Boston Med Ctr, Dept Otolaryngol Head & Neck Surg, Boston, MA USABoston Univ, Sch Med, Boston, MA 02118 USA
Tracy, Lauren F.
[1
,2
]
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[1] Boston Univ, Sch Med, Boston, MA 02118 USA
[2] Boston Med Ctr, Dept Otolaryngol Head & Neck Surg, Boston, MA USA
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ANNALS OF OTOLOGY RHINOLOGY AND LARYNGOLOGY
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2023年
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132卷
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07期
Objectives: Development of traction pharyngesophageal diverticula following anterior cervical discectomy and fusion (ACDF) is a rare but morbid cause of dysphagia and the optimal surgical management is unclear. Methods: PubMed, GoogleScholar, Embase database reviews of "traction diverticula/um + anterior cervical/ACDF." Patient demographics, presenting symptoms, surgical technique, and outcomes were compared. Results: Seventeen manuscripts reported 21 cases of pharyngesophageal diverticulum (PED) following ACDF (10 F:11 M, mean age 45 years). Presenting symptoms included dysphagia (n = 18), regurgitation (n = 10), and weight loss (n = 6). The average interval to presentation was 4.5 years after ACDF (range: 6 months-18 years) and ACDF levels most commonly involved were C5-C6 and/or C6-C7 (n = 12). Open diverticulectomy with (n = 12) and without (n = 6) cricopharyngeal myotomy was the most common approach and reinforcement with vascularized tissue was used in 6 patients (29%). Attempted endoscopic diverticula repair was successful in 1 patient, was converted to open repair in 5 patients, and 1 patient did not have surgical repair. ACDF hardware was removed in 11 cases (52%) and was routinely removed when concomitant infection was present. Complications following repair were reported in 6 patients (30%). Conclusion: Traction pharyngesophageal diverticula are a rare cause of dysphagia which occur after a variable interval following ACDF. Open surgical diverticulectomy yields superior outcomes compared to the endoscopic approach. In the setting of infection hardware removal is recommended. Vascularized tissue reinforcement can limit potential esophageal leak; however, the risk of post-operative complications remains high.
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Rush Univ, Dept Orthopaed Surg, Med Ctr, 1611 W Larrison St,Suite 300, Chicago, IL 60612 USARush Univ, Dept Orthopaed Surg, Med Ctr, 1611 W Larrison St,Suite 300, Chicago, IL 60612 USA
Cha, Elliot D. K.
Lynch, Conor P.
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Rush Univ, Dept Orthopaed Surg, Med Ctr, 1611 W Larrison St,Suite 300, Chicago, IL 60612 USARush Univ, Dept Orthopaed Surg, Med Ctr, 1611 W Larrison St,Suite 300, Chicago, IL 60612 USA
Lynch, Conor P.
Jadczak, Caroline N.
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Rush Univ, Dept Orthopaed Surg, Med Ctr, 1611 W Larrison St,Suite 300, Chicago, IL 60612 USARush Univ, Dept Orthopaed Surg, Med Ctr, 1611 W Larrison St,Suite 300, Chicago, IL 60612 USA
Jadczak, Caroline N.
Mohan, Shruthi
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Rush Univ, Dept Orthopaed Surg, Med Ctr, 1611 W Larrison St,Suite 300, Chicago, IL 60612 USARush Univ, Dept Orthopaed Surg, Med Ctr, 1611 W Larrison St,Suite 300, Chicago, IL 60612 USA
Mohan, Shruthi
Geoghegan, Cara E.
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Rush Univ, Dept Orthopaed Surg, Med Ctr, 1611 W Larrison St,Suite 300, Chicago, IL 60612 USARush Univ, Dept Orthopaed Surg, Med Ctr, 1611 W Larrison St,Suite 300, Chicago, IL 60612 USA
Geoghegan, Cara E.
Singh, Kern
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Rush Univ, Dept Orthopaed Surg, Med Ctr, 1611 W Larrison St,Suite 300, Chicago, IL 60612 USARush Univ, Dept Orthopaed Surg, Med Ctr, 1611 W Larrison St,Suite 300, Chicago, IL 60612 USA
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Harvard Med Sch, Massachusetts Gen Hosp, Dept Orthoped Surg, Boston, MA 02115 USAHarvard Med Sch, Massachusetts Gen Hosp, Dept Orthoped Surg, Boston, MA 02115 USA
Karhade, Aditya, V
Ogink, Paul T.
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Harvard Med Sch, Massachusetts Gen Hosp, Dept Orthoped Surg, Boston, MA 02115 USAHarvard Med Sch, Massachusetts Gen Hosp, Dept Orthoped Surg, Boston, MA 02115 USA
Ogink, Paul T.
Thio, Quirina C. B. S.
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Harvard Med Sch, Massachusetts Gen Hosp, Dept Orthoped Surg, Boston, MA 02115 USAHarvard Med Sch, Massachusetts Gen Hosp, Dept Orthoped Surg, Boston, MA 02115 USA
Thio, Quirina C. B. S.
Cha, Thomas D.
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Harvard Med Sch, Massachusetts Gen Hosp, Dept Orthoped Surg, Boston, MA 02115 USAHarvard Med Sch, Massachusetts Gen Hosp, Dept Orthoped Surg, Boston, MA 02115 USA
Cha, Thomas D.
Hershman, Stuart H.
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Harvard Med Sch, Massachusetts Gen Hosp, Dept Orthoped Surg, Boston, MA 02115 USAHarvard Med Sch, Massachusetts Gen Hosp, Dept Orthoped Surg, Boston, MA 02115 USA
Hershman, Stuart H.
Schoenfeld, Andrew J.
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Harvard Med Sch, Brigham & Womens Hosp, Dept Orthoped Surg, Boston, MA 02115 USAHarvard Med Sch, Massachusetts Gen Hosp, Dept Orthoped Surg, Boston, MA 02115 USA
Schoenfeld, Andrew J.
Bono, Christopher M.
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Harvard Med Sch, Massachusetts Gen Hosp, Dept Orthoped Surg, Boston, MA 02115 USAHarvard Med Sch, Massachusetts Gen Hosp, Dept Orthoped Surg, Boston, MA 02115 USA
Bono, Christopher M.
Schwab, Joseph H.
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Harvard Med Sch, Massachusetts Gen Hosp, Dept Orthoped Surg, Boston, MA 02115 USAHarvard Med Sch, Massachusetts Gen Hosp, Dept Orthoped Surg, Boston, MA 02115 USA
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Southern Illinois Univ SIU, Sch Med, Family & Community Med, Springfield, IL 62702 USASouthern Illinois Univ SIU, Sch Med, Family & Community Med, Springfield, IL 62702 USA
Wasey, Waiz
Saleh, Sharefi
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Ruth Temple Clin, Family Med, Los Angeles, CA USASouthern Illinois Univ SIU, Sch Med, Family & Community Med, Springfield, IL 62702 USA
Saleh, Sharefi
Manahil, Naila
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Southern Illinois Univ SIU, Family Med, Sch Med, Springfield, IL USASouthern Illinois Univ SIU, Sch Med, Family & Community Med, Springfield, IL 62702 USA
Manahil, Naila
Mohammed, Asiya
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Southern Illinois Univ SIU, Family Med, Ctr Family & Community Med, Springfield, IL USASouthern Illinois Univ SIU, Sch Med, Family & Community Med, Springfield, IL 62702 USA
Mohammed, Asiya
Wasey, Neha
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Shadan Inst Med Sci, Gen Practice, Hyderabad, IndiaSouthern Illinois Univ SIU, Sch Med, Family & Community Med, Springfield, IL 62702 USA
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New England Baptist Hosp, Dept Orthoped Surg, Boston, MA USA
Harvard Med Sch, Massachusetts Gen Hosp, Dept Surg, Boston, MA USANew England Baptist Hosp, Dept Orthoped Surg, Boston, MA USA
Nin, Darren Z.
Chen, Ya-Wen
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Harvard Med Sch, Massachusetts Gen Hosp, Dept Surg, Boston, MA USANew England Baptist Hosp, Dept Orthoped Surg, Boston, MA USA
Chen, Ya-Wen
Kim, David H.
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New England Baptist Hosp, Dept Orthoped Surg, Boston, MA USA
Tufts Univ, Sch Med, Boston, MA USANew England Baptist Hosp, Dept Orthoped Surg, Boston, MA USA
Kim, David H.
Niu, Ruijia
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New England Baptist Hosp, Dept Orthoped Surg, Boston, MA USANew England Baptist Hosp, Dept Orthoped Surg, Boston, MA USA
Niu, Ruijia
Powers, Andrew
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Harvard Med Sch, Beth Israel Deaconess Med Ctr, Div Neurosurg, Boston, MA USANew England Baptist Hosp, Dept Orthoped Surg, Boston, MA USA
Powers, Andrew
Chang, David C.
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Harvard Med Sch, Massachusetts Gen Hosp, Dept Surg, Boston, MA USANew England Baptist Hosp, Dept Orthoped Surg, Boston, MA USA
Chang, David C.
Hwang, Raymond W.
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New England Baptist Hosp, Dept Orthoped Surg, Boston, MA USA
Tufts Univ, Sch Med, Boston, MA USA
830 Boylston St,Chestnut Hill, Boston, MA 02467 USANew England Baptist Hosp, Dept Orthoped Surg, Boston, MA USA
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Weill Cornell New York Presbyterian Hosp, Dept Neurosurg, New York, NY 10065 USAWeill Cornell New York Presbyterian Hosp, Dept Neurosurg, New York, NY 10065 USA
Alimi, Marjan
Njoku, Innocent
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New York Presbyterian Hosp, Weill Cornell Med Coll, Dept Neurosurg, New York, NY USAWeill Cornell New York Presbyterian Hosp, Dept Neurosurg, New York, NY 10065 USA
Njoku, Innocent
Hofstetter, Christoph P.
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New York Presbyterian Hosp, Weill Cornell Med Coll, Dept Neurosurg, New York, NY USAWeill Cornell New York Presbyterian Hosp, Dept Neurosurg, New York, NY 10065 USA
Hofstetter, Christoph P.
Tsiouris, Apostolos J.
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Weill Cornell Med Coll, Div Neuroradiol, Radiol, New York, NY USAWeill Cornell New York Presbyterian Hosp, Dept Neurosurg, New York, NY 10065 USA
Tsiouris, Apostolos J.
Kesavabhotla, Kartik
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Cornell Univ, Weill Cornell Med Coll, Ithaca, NY 14853 USAWeill Cornell New York Presbyterian Hosp, Dept Neurosurg, New York, NY 10065 USA
Kesavabhotla, Kartik
Boockvar, John
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Lenox Hill Hosp, Dept Neurosurg, New York, NY 10021 USAWeill Cornell New York Presbyterian Hosp, Dept Neurosurg, New York, NY 10065 USA
Boockvar, John
Navarro-Ramirez, Rodrigo
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Weill Cornell New York Presbyterian Hosp, Dept Neurosurg, New York, NY 10065 USAWeill Cornell New York Presbyterian Hosp, Dept Neurosurg, New York, NY 10065 USA
Navarro-Ramirez, Rodrigo
Hartl, Roger
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New York Presbyterian Hosp, Weill Cornell Med Coll, Dept Neurosurg, New York, NY USAWeill Cornell New York Presbyterian Hosp, Dept Neurosurg, New York, NY 10065 USA
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Univ Med & Dent New Jersey, NJ Med Sch, Dept Neurol Surg, Newark, NJ 07101 USAUniv Med & Dent New Jersey, NJ Med Sch, Dept Neurol Surg, Newark, NJ 07101 USA
Christiano, Lana D.
Goldstein, Ira M.
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Univ Med & Dent New Jersey, NJ Med Sch, Dept Neurol Surg, Newark, NJ 07101 USAUniv Med & Dent New Jersey, NJ Med Sch, Dept Neurol Surg, Newark, NJ 07101 USA