Staged surgical management of hypopharyngeal traction diverticulum

Ronda E. Alexander, Jeffrey Silber, David Myssiorek

Research output: Contribution to journalArticlepeer-review

6 Scopus citations


A 50-year-old woman who had undergone cervical spine fixation 6 years earlier presented with dysphagia, regurgitation of undigested food, halitosis, and weight loss. Operative examination demonstrated a hypopharyngeal diverticulum with spinal hardware visible in a defect in the mucosa. She underwent an open cervical approach to removal of the hardware. Endoscopic staple diverticulotomy as described by Scher and Richtsmeier was performed 8 weeks later in the ambulatory surgical setting. After a period of enteral feeding via a nasogastric tube in the initial postoperative period, she was able to resume oral nutrition in the interim between the surgical procedures. After the second procedure, she was able to resume a normal diet immediately and she experienced minimal symptoms. It is established that traction diverticulum is appropriately treated by removing the inciting anatomic factor(s). We propose that staged surgical management begin with the removal of the nidus followed by marsupialization of the diverticulum pouch. Standard staple diverticulotomy is a viable option for the second stage. This technique allows the patient to minimize the length of, or avoid, the second hospitalization for diverticulum management.

Original languageEnglish (US)
Pages (from-to)731-733
Number of pages3
JournalAnnals of Otology, Rhinology and Laryngology
Issue number10
StatePublished - Oct 2008
Externally publishedYes


  • Pharyngeal diverticulum
  • Spine complications

ASJC Scopus subject areas

  • Otorhinolaryngology


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