Short-term quality-of-life outcomes following transoral diverticulotomy for Zenker's diverticulum

Kathryn M. Van Abel, Nicole M. Tombers, Kari A. Krein, Eric J. Moore, Daniel L. Price, Jan Kasperbauer, Michael L. Hinni, David G Lott, Dale C. Ekbom

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5 Scopus citations

Abstract

Objective To prospectively analyze quality-of-life outcomes following transoral diverticulotomy with cricopharyngeal myotomy (DCPM) for Zenker's diverticulum (ZD). Study Design Prospective single-group study. Settings Tertiary academic institution. Subjects and Methods A prospective multicenter study performed from January 1, 2012, to July 1, 2014, included 18 patients presenting with ZD undergoing DCPM. Standardized questionnaires - including the 10-item Eating Assessment Tool (EAT-10), Functional Outcome of Swallowing Scale (FOSS), and the Reflux Symptom Index (RSI) - were completed preoperatively and at 3 and 6 months postoperatively. Videofluoroscopic studies were obtained and analyzed by our senior speech-language pathologist, who was blinded to the clinical outcomes. Results Eighteen patients were included (11 women; mean age, 72.6 years; range, 53-86 years). All patients had ZD on preoperative videofluoroscopic swallowing studies. The most common comorbidities included hypertension (10 of 18, 55.6%), dyslipidemia (8 of 18, 44.4%), hiatal hernia (6 of 18, 33.3%), and gastroesophageal reflux disease (5 of 18, 27.8%). Median preoperative RSI was 27 (interquartile range [IQR], 22.5-31.5); FOSS, 2 (IQR, 2-3); and EAT-10, 21.5 (IQR, 13.5-27.5). The 3-month questionnaire (88.9% completion) demonstrated an improved median RSI of 5 (IQR, 1-7.5; P

Original languageEnglish (US)
Pages (from-to)322-327
Number of pages6
JournalOtolaryngology - Head and Neck Surgery (United States)
Volume154
Issue number2
DOIs
StatePublished - Feb 1 2016

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Keywords

  • cricopharyngeal bar
  • cricopharyngeal dysfunction
  • cricopharyngeal myotomy
  • EAT-10
  • FOSS
  • functional outcome swallowing scale
  • quality of life
  • reflux symptom index
  • regurgitation
  • RSI
  • Zenker's diverticulum

ASJC Scopus subject areas

  • Otorhinolaryngology
  • Surgery

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