Abstract
Objectives: We directly compared endoscopic carbon dioxide (CO2) laser and stapler treatment methods for both cricopharyngeal hypertrophy (CPH) and Zenker's diverticulum (ZD). Methods: We performed a single-institution retrospective chart review of 153 patients who underwent either CO2 laser- assisted or stapler-assisted endoscopic cricopharyngeal myotomy (CPM). Results: Isolated CPH was more likely to be treated with the CO2 laser than by stapler techniques. The ZD pouch size decreased significantly after surgery in both laser (p = 0.04) and stapler (p = 0.008) groups. The average duration of the procedure for CPM was longer for the laser than for the stapler (p = 0.01). Both techniques were successful when used in revision procedures. The overall complication rates were not statistically significantly different. Laser surgery trended toward a higher rate of major complications (2.4% versus 0%). Symptomatic recurrence was more likely after stapler surgery (p = 0.002). The rates of revision surgery were similar in the two groups (3.3% for laser and 4.3% for stapler). Conclusions: In the treatment of isolated CPH or ZD, stapler-assisted endoscopic surgery results in a shorter operative time, whereas laser-assisted CPM results in a decreased incidence of symptomatic recurrence. All rights reserved
Original language | English (US) |
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Pages (from-to) | 568-574 |
Number of pages | 7 |
Journal | Annals of Otology, Rhinology and Laryngology |
Volume | 122 |
Issue number | 9 |
DOIs | |
State | Published - Sep 2013 |
Keywords
- Carbon dioxide laser
- Cricopharyngeus
- Endoscopy
- Hypertrophy
- Surgical stapler
- Zenker's diverticulum
ASJC Scopus subject areas
- Otorhinolaryngology