{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,22]],"date-time":"2026-04-22T17:25:43Z","timestamp":1776878743343,"version":"3.51.2"},"reference-count":22,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2014,4,4]],"date-time":"2014-04-04T00:00:00Z","timestamp":1396569600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["aao-hnsfjournals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Otolaryngol.--head neck surg."],"published-print":{"date-parts":[[2014,7]]},"abstract":"<jats:sec><jats:title>Objective<\/jats:title><jats:p>To compare the different modalities for treatment of Zenker's diverticulum and the associated clinical outcomes.<\/jats:p><\/jats:sec><jats:sec><jats:title>Study Design<\/jats:title><jats:p>Case series with chart review.<\/jats:p><\/jats:sec><jats:sec><jats:title>Setting<\/jats:title><jats:p>Tertiary care hospital.<\/jats:p><\/jats:sec><jats:sec><jats:title>Subjects and Methods<\/jats:title><jats:p>Between 1995 and 2011, 164 patients underwent surgery for Zenker's diverticulum (stapler, n = 69; laser, n = 68; open, n = 27). Patient sociodemographics, medical comorbidities, pre\u2010 and postoperative subjective dysphagia and regurgitation score, complications, length of stay, time to oral intake, and recurrence were reviewed for each surgical modality.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>No statistically significant difference in diverticulum prevalence was associated with age, gender, or treatment group. Mean length of hospital stay was not significantly different between the 3\u00a0groups (<jats:italic>P<\/jats:italic> =. 14). A significant difference in time to oral intake was observed in the laser group compared with the other 2\u00a0groups (<jats:italic>P<\/jats:italic> =. 012). No significant difference in recurrence (<jats:italic>P<\/jats:italic> =. 21) or complication (<jats:italic>P<\/jats:italic> =. 12) rates was identified between the 3\u00a0groups. Although all 3\u00a0groups demonstrated a significant decrease between preoperative and postoperative dysphagia and regurgitation scores, the degree of improvement was not significant when the 3\u00a0groups were compared.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>There is no single \u201cbest\u201d approach to Zenker's diverticulum. The open, laser, and stapler methods are equally effective and have similar complication rates.<\/jats:p><\/jats:sec>","DOI":"10.1177\/0194599814529405","type":"journal-article","created":{"date-parts":[[2014,4,4]],"date-time":"2014-04-04T22:53:50Z","timestamp":1396652030000},"page":"52-58","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":29,"title":["Surgical Techniques for Zenker's Diverticulum: A Comparative Analysis"],"prefix":"10.1002","volume":"151","author":[{"given":"Jason M.","family":"Leibowitz","sequence":"first","affiliation":[{"name":"Department of Otolaryngology\u2013Head and Neck Surgery University of Miami\u2013Miller School of Medicine Miami Florida USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Christopher E.","family":"Fundakowski","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2013Head and Neck Surgery University of Miami\u2013Miller School of Medicine 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