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Diagnosis and Evaluation of Hypopharyngeal Diverticula

  • David Myssiorek
  • Laurie Wennerholm
Chapter

Abstract

Hypopharyngeal diverticula are uncommon entities that usually affect the older patient. Zenker diverticulum is by far the most prevalent diverticulum in this group. The presenting symptom is dysphagia. The sine qua non of Zenker diverticulum (ZD) is regurgitation of undigested food. Radiologic imaging, specifically barium esophagram with cine-esophagography, is critical. Images in the anterior/posterior and lateral projections provide valuable information regarding the position of the sac as well as its relationship to the cricopharyngeal muscle.

The role of the speech and language pathologist (SLP) has increased dramatically over the last several decades in regard to dysphagia assessment and management of complex patients. The SLP is often part of an interdisciplinary team to aid in diagnosing hypopharyngeal diverticula, specifically ZD.

Keywords

Zenker Hypopharyngeal Diverticulum Diagnosis Esophagram Manometry Speech swallowing 

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Copyright information

© Springer International Publishing AG, part of Springer Nature 2018

Authors and Affiliations

  • David Myssiorek
    • 1
    • 2
  • Laurie Wennerholm
    • 3
  1. 1.Jacobi Medical CenterBronxUSA
  2. 2.Department of OtolaryngologyAlbert Einstein College of MedicineBronxUSA
  3. 3.Speech Pathology and Swallowing Center for Cancer Care, White Plains Hospital/Montefiore Health SystemWhite PlainsUSA

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