caa a22 4500 60618497X CHVBK 20210128100829.0 cr unu---uuuuu 210128e20151001xx s 000 0 eng 10.1007/s00405-014-3247-4 doi (NATIONALLICENCE)springer-10.1007/s00405-014-3247-4 Suture of the mucosa after the endoscopic LASER mucomyotomy of Zenker's diverticulum [Elektronische Daten] [Carolina Minovi, Amir Minovi, Philipp Dost] The treatment of choice of Zenker's diverticulum is the rigid endoscopic mucomyotomy. At our ENT department, we usually perform an endoscopic mucosal suture after the myotomy. We diagnosed 49 patients and treated 39 patients between 2003 and 2013 due to a Zenker's diverticulum. We used the classification of Brombart to determine the size of the diverticulum. Surgery was performed as an endoscopic LASER mucomyotomy with mucosal sutures or as an open approach with diverticulectomy and myotomy. Patients were phoned to ask for their complaints postoperatively. The symptoms were classified using a visual scale from 0 (no complaint) until 10 (same or more complaints than before the surgery). The distribution of the diverticulum's size was: 6 patients Brombart I, 11 patients Brombart II, 14 patients Brombart III and 18 patients Brombart IV. 10 patients did not undergo surgery. With 33 patients, we performed an endoscopic operation and 6 patients underwent an open approach. The scale of postoperative complaints was the following: 20 patients (0/10), 12 patients (1/10 or 2/10), 3 patients (3/10), 1 patient (6/10) and 1 patient (10/10). None of the patients suffered from severe complications such as mediastinitis. In 85% of the cases, an endoscopic approach could be performed. Postoperatively, 94% of the patients did not have any or just mild complaints. The risk of severe complications or recurrence of the diverticulum is low. The mucosal suture might reduce the risk of infections. Springer-Verlag Berlin Heidelberg, 2014 Zenker's diverticulum nationallicence Pharyngeal pouch nationallicence Dysphagia nationallicence LASER endoscopic diverticulectomy nationallicence Transcervical diverticulectomy nationallicence Minovi Carolina Department of Otorhinolaryngology, Marienhospital, Gelsenkirchen, Virchowstrasse 135, 45886, Gelsenkirchen, Germany aut Minovi Amir Department of Otorhinolaryngology, Head- and Neck Surgery, St. Elisabeth Hospital, Ruhr-University Bochum, Bochum, Germany aut Dost Philipp Department of Otorhinolaryngology, Marienhospital, Gelsenkirchen, Virchowstrasse 135, 45886, Gelsenkirchen, Germany aut European Archives of Oto-Rhino-Laryngology Springer Berlin Heidelberg 272/10(2015-10-01), 2947-2952 0937-4477 272:10<2947 2015 272 405 https://doi.org/10.1007/s00405-014-3247-4 text/html Onlinezugriff via DOI BK010053 XK010053 XK010000 Metadata rights reserved Springer special CC-BY-NC licence nationallicence 1 research-article jats NATIONALLICENCE NATIONALLICENCE NL-springer NATIONALLICENCE 856 40 https://doi.org/10.1007/s00405-014-3247-4 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Minovi Carolina Department of Otorhinolaryngology, Marienhospital, Gelsenkirchen, Virchowstrasse 135, 45886, Gelsenkirchen, Germany aut NATIONALLICENCE 700 1- Minovi Amir Department of Otorhinolaryngology, Head- and Neck Surgery, St. Elisabeth Hospital, Ruhr-University Bochum, Bochum, Germany aut NATIONALLICENCE 700 1- Dost Philipp Department of Otorhinolaryngology, Marienhospital, Gelsenkirchen, Virchowstrasse 135, 45886, Gelsenkirchen, Germany aut NATIONALLICENCE 773 0- European Archives of Oto-Rhino-Laryngology Springer Berlin Heidelberg 272/10(2015-10-01), 2947-2952 0937-4477 272:10<2947 2015 272 405