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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.
Background:
Pharyngeal pouches are generally treated with surgery, via either an endoscopic or an external approach. Large pouches extending to the mediastinum carry an increased risk of post-operative mediastinitis in the event of a leak following external approach surgery, and may not always be amenable to endoscopic stapling.
Methods:
Transcervical stapling is a newly described technique that uses the endoluminal stapling approach but in which the diverticuloscope is inserted into the pharynx via a neck incision.
Conclusions:
This technique has been used successfully on three patients with large pharyngeal pouches, where endoscopic stapling was not possible due to access limitations.
