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Updated: Aug 30, 2025

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Transcervical pharyngeal pouch stapling.

Marina Brimioulle1, Rogan Corbridge2, Mahmoud Elsayed2

  • 1Ears, Nose and Throat Department, Royal Berkshire Hospital, London Road, Reading, RG1 5AN, UK. Marina.brimioulle@gmail.com.

European Archives of Oto-Rhino-Laryngology : Official Journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : Affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery
|August 30, 2022
PubMed
Summary

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A new transcervical stapling technique successfully treated large pharyngeal pouches in three patients. This minimally invasive approach offers a viable alternative when traditional endoscopic or external surgeries are not feasible.

Area of Science:

  • Otolaryngology
  • Surgical Innovation
  • Gastrointestinal Surgery

Background:

  • Pharyngeal pouches typically require surgical intervention, with endoscopic or external approaches being standard.
  • Large pharyngeal pouches extending into the mediastinum pose significant risks, including post-operative mediastinitis after external surgery.
  • Endoscopic stapling may be limited in cases of large pouches due to access difficulties.

Purpose of the Study:

  • To introduce and evaluate a novel surgical technique for managing large pharyngeal pouches.
  • To present a minimally invasive alternative for patients with complex pharyngeal pouch anatomy.

Main Methods:

  • The study describes transcervical stapling, a technique utilizing endoluminal stapling via a neck incision.
  • A diverticuloscope is inserted through the neck incision into the pharynx to perform the stapling.
Keywords:
Endoscopic approachExternal approachPharyngeal pouchStapling

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Main Results:

  • The transcervical stapling technique was successfully applied in three patients.
  • All patients had large pharyngeal pouches that were not amenable to standard endoscopic stapling.

Conclusions:

  • Transcervical stapling is a safe and effective method for treating large pharyngeal pouches.
  • This technique provides a valuable option when endoscopic access is limited, reducing potential complications.