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}} |
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DiseasesDB = 9922 |
ICD10 = {{ICD10|Q|38|7|q|38}} |
ICD9 = {{ICD9|750.27}} |
ICDO = |
OMIM = |
MedlinePlus = |
eMedicineSubj = |
eMedicineTopic = |
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}}
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]]