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Killian-Jamieson diverticulum: a case for open transcervical excision.

Satyen Undavia¹, Sumeet M Anand, Adam S Jacobson

¹Otorhinolaryngology-Head and Neck Surgery, Albert Einstein College of Medicine, New York, USA. satyenu@gmail.com

The Laryngoscope

|November 28, 2012

Summary

Killian-Jamieson diverticulum (KJD), a rare hypopharyngeal defect, can be managed with an open transcervical approach. This method is crucial for avoiding recurrent laryngeal nerve injury during diverticulectomy.

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Area of Science:

Gastroenterology
Surgical Oncology
Otolaryngology

Background:

Killian-Jamieson diverticulum (KJD) is a rare hypopharyngeal outpouching.
Minimally invasive endoscopic techniques are increasingly explored for esophageal diverticuli management.
Surgical intervention is sometimes necessary for symptomatic KJD.

Observation:

A 62-year-old female presented with symptoms suggestive of an esophageal diverticulum.
Barium swallow confirmed Killian-Jamieson diverticulum.
Intraoperative findings revealed the recurrent laryngeal nerve (RLN) adherent to the diverticulum base.

Findings:

An open transcervical diverticulectomy was successfully performed without complications.
Careful dissection was required to free the recurrent laryngeal nerve (RLN) before diverticulum removal.
The patient experienced an uncomplicated recovery post-procedure.

Implications:

The open transcervical approach offers a safe and effective method for Killian-Jamieson diverticulum (KJD) management.
Awareness of recurrent laryngeal nerve (RLN) proximity is vital to prevent surgical injury.
This approach may be preferred in cases with complex anatomy or adherence of surrounding structures.