Correlation of radiologic findings and clinical outcome in pharyngeal pouch stapling.
OBJECTIVE
We undertook to identify any correlation between radiologic findings and clinical outcome in pharyngeal pouch surgery.


METHODS
We performed a retrospective case control study in a teaching hospital in Dundee, Scotland. The subjects were 21 patients who underwent pharyngeal pouch stapling. We used a novel method to measure the characteristics of each pouch by focusing on a triangular area in the neck of the pouch.


RESULTS
A correlation was found between the radiologic preoperative findings and the clinical outcome. A short triangle was more likely to result in postoperative complications, whereas a long one was more likely to require revision surgery.


CONCLUSIONS
It is possible to predict the surgical outcome from the radiologic characteristics of the diverticulum. We believe that our findings may have important clinical implications.
Tsikoudas
Alexandros
A
Departments of Otolaryngology, Ninewells Hospital, Dundee, Scotland.
Eason
David
D
Kara
Naveed
N
Brunton
John N
JN
Mountain
Rodney E
RE
D000368:Aged; D000369:Aged, 80 and over; D001466:Barium Sulfate; D016022:Case-Control Studies; D003679:Deglutition; D005260:Female; D006801:Humans; D007902:Length of Stay; D008297:Male; D008875:Middle Aged; D010614:Pharynx / Q000000981:diagnostic imaging / Q000601:surgery; D011183:Postoperative Complications / Q000453:epidemiology / Q000209:etiology; D011859:Radiography; D020127:Recovery of Function; D012189:Retrospective Studies; D017792:Surgical Stapling / Q000009:adverse effects; D016896:Treatment Outcome; D016672:Zenker Diverticulum / Q000000981:diagnostic imaging* / Q000601:surgery*
D001466:Barium Sulfate