{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,14]],"date-time":"2026-10-14T11:53:38Z","timestamp":1791978818065,"version":"4.4.0"},"reference-count":31,"publisher":"SAGE Publications","issue":"7","license":[{"start":{"date-parts":[[2022,8,1]],"date-time":"2022-08-01T00:00:00Z","timestamp":1659312000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Ann Otol Rhinol Laryngol"],"published-print":{"date-parts":[[2023,7]]},"abstract":"<jats:sec>\n                    <jats:title>Objectives:<\/jats:title>\n                    <jats:p>Development of traction pharyngesophageal diverticula following anterior cervical discectomy and fusion (ACDF) is a rare but morbid cause of dysphagia and the optimal surgical management is unclear.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>PubMed, GoogleScholar, Embase database reviews of \u201ctraction diverticula\/um\u2009+\u2009anterior cervical\/ACDF.\u201d Patient demographics, presenting symptoms, surgical technique, and outcomes were compared.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>Seventeen manuscripts reported 21 cases of pharyngesophageal diverticulum (PED) following ACDF (10 F:11 M, mean age 45\u2009years). Presenting symptoms included dysphagia (n\u2009=\u200918), regurgitation (n\u2009=\u200910), and weight loss (n\u2009=\u20096). The average interval to presentation was 4.5\u2009years after ACDF (range: 6\u2009months-18\u2009years) and ACDF levels most commonly involved were C5-C6 and\/or C6-C7 (n\u2009=\u200912). Open diverticulectomy with (n\u2009=\u200912) and without (n\u2009=\u20096) cricopharyngeal myotomy was the most common approach and reinforcement with vascularized tissue was used in 6 patients (29%). Attempted endoscopic diverticula repair was successful in 1 patient, was converted to open repair in 5 patients, and 1 patient did not have surgical repair. ACDF hardware was removed in 11 cases (52%) and was routinely removed when concomitant infection was present. Complications following repair were reported in 6 patients (30%).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Traction pharyngesophageal diverticula are a rare cause of dysphagia which occur after a variable interval following ACDF. Open surgical diverticulectomy yields superior outcomes compared to the endoscopic approach. In the setting of infection hardware removal is recommended. Vascularized tissue reinforcement can limit potential esophageal leak; however, the risk of post-operative complications remains high.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/00034894221115745","type":"journal-article","created":{"date-parts":[[2022,8,2]],"date-time":"2022-08-02T02:14:00Z","timestamp":1659406440000},"page":"800-805","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["Pharyngesophageal Diverticula Following Anterior Cervical Discectomy and Fusion"],"prefix":"10.1177","volume":"132","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4747-4807","authenticated-orcid":false,"given":"Hassan","family":"Beesley","sequence":"first","affiliation":[{"name":"Boston University School of Medicine, Boston, MA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jacquelyn","family":"Piraquive","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology-Head and Neck Surgery, Boston Medical Center, Boston, MA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zaroug","family":"Jaleel","sequence":"additional","affiliation":[{"name":"Boston University School of Medicine, Boston, MA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lauren F","family":"Tracy","sequence":"additional","affiliation":[{"name":"Boston University School of Medicine, Boston, MA, USA"},{"name":"Department of Otolaryngology-Head and Neck Surgery, Boston Medical Center, Boston, MA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2022,8,1]]},"reference":[{"key":"bibr1-00034894221115745","doi-asserted-by":"publisher","DOI":"10.1007\/s00256-017-2798-z"},{"key":"bibr2-00034894221115745","doi-asserted-by":"publisher","DOI":"10.1097\/BRS.0b013e318154c57e"},{"key":"bibr3-00034894221115745","doi-asserted-by":"publisher","DOI":"10.1177\/014556131008901102"},{"key":"bibr4-00034894221115745","doi-asserted-by":"publisher","DOI":"10.1097\/BRS.0b013e3181d81a96"},{"key":"bibr5-00034894221115745","doi-asserted-by":"publisher","DOI":"10.1016\/j.spinee.2006.02.024"},{"key":"bibr6-00034894221115745","doi-asserted-by":"publisher","DOI":"10.1097\/00007632-200211150-00007"},{"key":"bibr7-00034894221115745","doi-asserted-by":"publisher","DOI":"10.1080\/02688697.2020.1757037"},{"key":"bibr8-00034894221115745","doi-asserted-by":"publisher","DOI":"10.1016\/j.wneu.2011.07.004"},{"key":"bibr9-00034894221115745","doi-asserted-by":"publisher","DOI":"10.1097\/BRS.0b013e318205a1a7"},{"key":"bibr10-00034894221115745","doi-asserted-by":"publisher","DOI":"10.14444\/4009"},{"key":"bibr11-00034894221115745","doi-asserted-by":"publisher","DOI":"10.1007\/s00586-010-1579-3"},{"key":"bibr12-00034894221115745","doi-asserted-by":"publisher","DOI":"10.5090\/kjtcs.2016.49.4.309"},{"key":"bibr13-00034894221115745","doi-asserted-by":"publisher","DOI":"10.1155\/2013\/281547"},{"key":"bibr14-00034894221115745","doi-asserted-by":"publisher","DOI":"10.1177\/000348949110001012"},{"key":"bibr15-00034894221115745","doi-asserted-by":"publisher","DOI":"10.1097\/00020840-200306000-00006"},{"key":"bibr16-00034894221115745","doi-asserted-by":"publisher","DOI":"10.1097\/01.brs.0000254120.25411.ae"},{"key":"bibr17-00034894221115745","first-page":"65","volume-title":"Campbell\u2019s Operative Orthopaedics","author":"Williams KD","year":"2003","edition":"10"},{"key":"bibr18-00034894221115745","doi-asserted-by":"publisher","DOI":"10.1111\/den.13035"},{"key":"bibr19-00034894221115745","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjsurg.2014.07.017"},{"key":"bibr20-00034894221115745","doi-asserted-by":"publisher","DOI":"10.1016\/j.wneu.2011.08.025"},{"key":"bibr21-00034894221115745","doi-asserted-by":"publisher","DOI":"10.1111\/j.1742-1241.1994.tb09774.x"},{"key":"bibr22-00034894221115745","doi-asserted-by":"publisher","DOI":"10.1017\/S0022215100142525"},{"key":"bibr23-00034894221115745","doi-asserted-by":"publisher","DOI":"10.1093\/icvts\/ivt421"},{"key":"bibr24-00034894221115745","doi-asserted-by":"publisher","DOI":"10.1007\/s00586-007-0578-5"},{"key":"bibr25-00034894221115745","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjoto.2005.11.009"},{"key":"bibr26-00034894221115745","doi-asserted-by":"publisher","DOI":"10.1177\/000348940811701004"},{"issue":"79","key":"bibr27-00034894221115745","first-page":"155","volume":"27","author":"Sadrizadeh A","year":"2015","journal-title":"Iran J Otorhinolaryngol"},{"key":"bibr28-00034894221115745","doi-asserted-by":"publisher","DOI":"10.1177\/2192568218774576"},{"key":"bibr29-00034894221115745","doi-asserted-by":"publisher","DOI":"10.1097\/BSD.0b013e31802c1474"},{"key":"bibr30-00034894221115745","doi-asserted-by":"publisher","DOI":"10.1097\/01.brs.0000182309.97403.ca"},{"key":"bibr31-00034894221115745","doi-asserted-by":"publisher","DOI":"10.1001\/jamaoto.2013.2761"}],"container-title":["Annals of Otology, Rhinology &amp; 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