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Management of vallecular pseudodiverticulum.
Summary
Vallecular pseudodiverticulum after laryngectomy can cause dysphagia by compressing the esophagus. Surgical resection of the pseudodiverticulum wall successfully treated two symptomatic patients.
Area of Science:
- Otolaryngology
- Surgical Oncology
- Gastroenterology
Background:
- Laryngectomy, a surgical procedure to remove the larynx, can lead to complications.
- Vallecular pseudodiverticulum is a potential post-laryngectomy defect.
- This condition may cause dysphagia due to esophageal compression.
Observation:
- Two laryngectomy patients presented with symptomatic vallecular pseudodiverticulum.
- The pseudodiverticulum caused significant dysphagia.
- Surgical intervention was required for symptom relief.
Findings:
- Vallecular pseudodiverticulum likely results from muscle action during laryngectomy repair.
- The pseudodiverticulum can enlarge and compress the cervical esophagus.
- An external surgical approach effectively resected the diverticulum wall.
Implications:
- Surgical management of vallecular pseudodiverticulum is feasible and effective.
- Addressing this complication can improve swallowing function post-laryngectomy.
- Understanding the pathophysiology aids in preventing and treating this condition.