Novel endoscopic treatment of pharyngocele: Endoscopic suture pharyngoplasty

Pharyngocele is a rare pathology of the pharynx caused by the laxity of the thyrohyoid membrane. Only about 60 true lateral pharyngocele cases have been reported in the literature over the last 133 years. Laryngocele is a close differential, and the two are difficult to tell apart. Though they have been described well in the literature, they are often misdiagnosed or interchangeably diagnosed. The acquired type of pharyngocele is due to prolonged increased intrapharyngeal pressure and pharyngeal wall weakness, and it is more common than congenital pharyngoceles. Close differential diagnoses include Zenker’s diverticulum, laryngocele, and jugular venous phlebectasia. Acquired lateral pharyngoceles are seen in wind instrument musicians and glassblowers. Hence, these diverticula are described as ‘overuse syndrome’. We present a case of bilateral neck swelling, which occurred doing the Valsalva maneuver with imaging studies.

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“… 5 , 9 Other minimally invasive include percutaneous injection pharyngoplasty and endoscopic suture pharyngoplasty. 10 , 11 …”

Section: Discussionmentioning

confidence: 99%

Imaging of Pharyngocele: An Occupational Overuse Syndrome

et al. 2020

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“…In tomographic images, pharyngoceles are commonly confused with laryngoceles [3], as both are seen as air-filled sacs that may protrude through the thyrohyoid membrane [2. ] Treatment for symptomatic cases consists of excision of the pharyngocele by external or endoscopic approaches [4]. …”

Section: Discussionmentioning

confidence: 99%

Regurgitation of Undigested Food: What is Your Diagnosis?

et al. 2015

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An otherwise healthy 28-year-old male presented with a 10-year history of bolus sensation after eating and occasional regurgitation of undigested food. Symptoms were getting worse in the last two years. The episodes occurred right after eating, especially with solid boluses, when he leaned forward or contracted the pharyngeal muscles, a maneuver that he learned useful to clear the food bolus that was not properly swallowed. He also presented occasional episodes suggestive of aspiration, evidenced by cough while eating and one episode of choking but no past history of bronchitis or pneumonia. He denied chronic throat clearing, nocturnal coughing, pain, dyspnea, or weight loss. Findings on physical examination were within normal limits. Fiberoptic laryngoscopy showed slightly enlarged lingual tonsils hampering the visualization of the valleculae, but was otherwise unremarkable. There was no evident pooling, penetration, or aspiration of saliva (Fig. 1). CT scan of the neck suggested bilateral mixed (internal and external) laryngoceles with slight increase with Valsalva maneuver (Fig. 2a, b), but the diagnosis was inconsistent with clinical symptoms and laryngoscopic findings.

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“…When surgery is required, external or endoscopic approaches are used. 5 With proper history acquisition, physical exam, and imaging studies with normal and elevated pharyngeal pressures, pharyngoceles can be correctly diagnosed and treated appropriately. Since 1898, Reliance Medical Products has had an unmatched reputation for reliability and craftsmanship, building everything from exam chairs to ENT cabinets and accessories that stand up to anything.…”

Section: Imaging Clinicmentioning

confidence: 99%

Section: Imaging Clinicmentioning

confidence: 99%