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Pharyngeal Diverticula

Pharyngeal Diverticula Abstract Innumerable articles have been written on the subject of pharyngeal diverticula since Ludlow, in 1764, first drew attention to this condition. It is not the object of this paper to discuss features to which attention has been drawn on many occasions, but to analyze, firstly, the suggestions which have been advanced as being factors in the production of pharyngeal pouches, and, secondly, to suggest a technique of operation which in our view not only makes operation far simpler but also makes the end-result more certain and permanent. Anatomically, there are two potentially weak areas in the posterior pharyngeal wall, one below and the other above the cricopharyngeus muscle. The lower area is caused by the forward convergence of the longitudinal muscle of the esophagus to gain anterior attachment to the middle line of the posterior surface of the cricoid cartilage. The triangular area formed by this deviation of the longitudinal References 1. Bevan, A. D.: Pulsion Diverticulum of the Esophagus—Cure by the Sippy-Bevan Operation , Surg. Clin. Chicago 1:449-457, 1917. 2. Dohlman, G.: Endoscopic Operations for Hypopharyngeal Diverticula, Fourth International Congress of Otolaryngology , London, 1949, p. 717. 3. Dunhill, T.: Pharyngeal Diverticulum , Brit. J. Surg. 37:404-415, 1950.Crossref 4. Halsted, A. E.: Diverticula of the Oesophagus , Ann. Surg. 39:171-193, 1904.Crossref 5. Hudson, R. V.: Pharyngeal Diverticulum: Aetiology and Surgical Treatment , Arch. Middlesex Hosp. (N. S.) 1:153-166, 1951. 6. Killian, G.: Über den Mund der Speiseröhre , Ztsch. Ohrenh. 55:1-41, 1908. 7. King, S. G.: New Concepts of Aetiology and Treatment of Diverticula of the Esophagus , Surg. Gynec. & Obst. 85:93-97, 1947. 8. Lahey, F. H.: Esophageal Diverticula , S. Clin. North America 33:813-826, 1953. 9. Larsen, B.: Endoscopic Treatment of Hypopharyngeal Diverticula , Acta oto-laryng. 43:130-132, 1953. 10. Ludlow, A.: A Case of Obstructed Deglutition from a Preternatural Dilatation of, and Bag Formed in the Pharynx, in a letter from Mr. Ludlow, Surgeon, at Bristol to Dr. William Hunter , read (Aug. 27) , 1764, Medical Observations and Inquiries , Vol. 3, pp. 85-101, 1767. 11. Mosher, H. P.: Webs and Pouches of the Oesophagus: Their Diagnosis and Treatment , Surgery, Gynec. & Obst. 25:175-187, 1917. 12. Negus, V. E.: Pharyngeal Diverticula—Observations on their Evolution and Treatment , Brit. J. Surgery 38:129-146, 1950. 13. Podvinec, S.: The Physiology and Pathology of the Soft Palate , J. Laryng. & Otol. 66:452-461, 1952. 14. Seiffert, A.: Oesophagoskopie und endoskopische Oesophagusbehandlung , Arch. Ohren- Nasen- u. Kehlkopfh. 163:140-171, 1953. 15. Spencer-Harrison, M.: Treatment of Pharyngeal Diverticula , J. Laryng. & Otol. 70:136-146, 1956. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png A.M.A. Archives of Otolaryngology American Medical Association

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Publisher
American Medical Association
Copyright
Copyright © 1958 American Medical Association. All Rights Reserved.
ISSN
0096-6894
DOI
10.1001/archotol.1958.00730010610018
Publisher site
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Abstract

Abstract Innumerable articles have been written on the subject of pharyngeal diverticula since Ludlow, in 1764, first drew attention to this condition. It is not the object of this paper to discuss features to which attention has been drawn on many occasions, but to analyze, firstly, the suggestions which have been advanced as being factors in the production of pharyngeal pouches, and, secondly, to suggest a technique of operation which in our view not only makes operation far simpler but also makes the end-result more certain and permanent. Anatomically, there are two potentially weak areas in the posterior pharyngeal wall, one below and the other above the cricopharyngeus muscle. The lower area is caused by the forward convergence of the longitudinal muscle of the esophagus to gain anterior attachment to the middle line of the posterior surface of the cricoid cartilage. The triangular area formed by this deviation of the longitudinal References 1. Bevan, A. D.: Pulsion Diverticulum of the Esophagus—Cure by the Sippy-Bevan Operation , Surg. Clin. Chicago 1:449-457, 1917. 2. Dohlman, G.: Endoscopic Operations for Hypopharyngeal Diverticula, Fourth International Congress of Otolaryngology , London, 1949, p. 717. 3. Dunhill, T.: Pharyngeal Diverticulum , Brit. J. Surg. 37:404-415, 1950.Crossref 4. Halsted, A. E.: Diverticula of the Oesophagus , Ann. Surg. 39:171-193, 1904.Crossref 5. Hudson, R. V.: Pharyngeal Diverticulum: Aetiology and Surgical Treatment , Arch. Middlesex Hosp. (N. S.) 1:153-166, 1951. 6. Killian, G.: Über den Mund der Speiseröhre , Ztsch. Ohrenh. 55:1-41, 1908. 7. King, S. G.: New Concepts of Aetiology and Treatment of Diverticula of the Esophagus , Surg. Gynec. & Obst. 85:93-97, 1947. 8. Lahey, F. H.: Esophageal Diverticula , S. Clin. North America 33:813-826, 1953. 9. Larsen, B.: Endoscopic Treatment of Hypopharyngeal Diverticula , Acta oto-laryng. 43:130-132, 1953. 10. Ludlow, A.: A Case of Obstructed Deglutition from a Preternatural Dilatation of, and Bag Formed in the Pharynx, in a letter from Mr. Ludlow, Surgeon, at Bristol to Dr. William Hunter , read (Aug. 27) , 1764, Medical Observations and Inquiries , Vol. 3, pp. 85-101, 1767. 11. Mosher, H. P.: Webs and Pouches of the Oesophagus: Their Diagnosis and Treatment , Surgery, Gynec. & Obst. 25:175-187, 1917. 12. Negus, V. E.: Pharyngeal Diverticula—Observations on their Evolution and Treatment , Brit. J. Surgery 38:129-146, 1950. 13. Podvinec, S.: The Physiology and Pathology of the Soft Palate , J. Laryng. & Otol. 66:452-461, 1952. 14. Seiffert, A.: Oesophagoskopie und endoskopische Oesophagusbehandlung , Arch. Ohren- Nasen- u. Kehlkopfh. 163:140-171, 1953. 15. Spencer-Harrison, M.: Treatment of Pharyngeal Diverticula , J. Laryng. & Otol. 70:136-146, 1956.

Journal

A.M.A. Archives of OtolaryngologyAmerican Medical Association

Published: May 1, 1958

References