Pharyngeal pouch 2887826 223413899 2008-07-03T23:41:49Z Nothingnesswithoutend 245760 Information about Randy Sanke does not fall under the category of Signs and Symptoms. Unsure if "Notable Example" is a good title. {{dablink|This article is about the condition. For the embryological structure, see [[Branchial pouch]].}} {{Infobox_Disease | Name = {{PAGENAME}} | Image = | Caption = | DiseasesDB = 9922 | ICD10 = {{ICD10|Q|38|7|q|38}} | ICD9 = {{ICD9|750.27}} | ICDO = | OMIM = | MedlinePlus = | eMedicineSubj = | eMedicineTopic = | MeshID = | }} In [[gastroenterology]], a '''pharyngeal pouch''' is a [[pathology|pathological]] pulsion [[diverticulum]] of the pharyngeal [[mucosa]] through [[Killian's dehiscence]]. Killian's dehiscence (also known as Killian's triangle) is a triangular area in the wall of the [[pharynx]] between the [[inferior constrictor muscle]] and the [[cricopharyngeus muscle]]. It represents a potentially weak spot where a pharyngoesophageal diverticulum ([[Zenker's diverticulum]]) is more likely. At first, the pouch develops posteriorly but then it protrudes to one side, usually the left. It displaces the [[oesophagus]] laterally as it enlarges. ==Incidence== Uncommon. ==Risk factors== Male, old age.<br /> Trumpet playing. ==Signs and symptoms== * [[Dysphagia]] (first mouthful easily swallowed but further swallowing prevented, with regurgitation of pouch contents) * Night-time fits of [[coughing]]. * Repeated chest [[infection]]s. * Palpable [[swelling]] in neck which may be heard to gurgle. ==Investigations== * [[Barium]] swallow. * [[Endoscopy]] should be avoided as the pouch can be easily perforated. ==Management== Surgical excision of the pouch. Normal feeding delayed until complete healing of wound, which may take at least five days. ==Complications== [[Fistula]], [[mediastinitis]], inhalation [[pneumonia]] and damage to [[recurrent laryngeal nerve]] ==Notable Example== Trumpeter [[Randy Sandke]] suffered this injury as a teenager, underwent surgery, took 10 years off the trumpet, and resumed playing. ==References== * {{cite book |author=Papadakis, Maxine A.; Tierney, Lawrence M.; McPhee, Stephen J. |title=Current Medical Diagnosis and Treatment 2003 |publisher=McGraw-Hill/Appleton & Lange |location= |year= |pages= |isbn=0071395938 |oclc= |doi=}} * {{cite journal |author=Mirza S, Dutt SN, Minhas SS, Irving RM |title=A retrospective review of pharyngeal pouch surgery in 56 patients |journal=Annals of the Royal College of Surgeons of England |volume=84 |issue=4 |pages=247–51 |year=2002 |pmid=12215027 |doi=}} {{Congenital malformations and deformations of digestive system}} [[Category:Gastroenterology]]