{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,5]],"date-time":"2026-09-05T15:06:21Z","timestamp":1788620781914,"version":"build-2803163510"},"reference-count":16,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2015,11,10]],"date-time":"2015-11-10T00:00:00Z","timestamp":1447113600000},"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":[[2016,2]]},"abstract":"<jats:sec><jats:title>Objective<\/jats:title><jats:p>To prospectively analyze quality\u2010of\u2010life outcomes following transoral diverticulotomy with cricopharyngeal myotomy (DCPM) for Zenker\u2019s diverticulum (ZD).<\/jats:p><\/jats:sec><jats:sec><jats:title>Study Design<\/jats:title><jats:p>Prospective single\u2010group study.<\/jats:p><\/jats:sec><jats:sec><jats:title>Settings<\/jats:title><jats:p>Tertiary academic institution.<\/jats:p><\/jats:sec><jats:sec><jats:title>Subjects and Methods<\/jats:title><jats:p>A prospective multicenter study performed from January 1, 2012, to July 1, 2014, included 18 patients presenting with ZD undergoing DCPM. Standardized questionnaires\u2014including the 10\u2010item Eating Assessment Tool (EAT\u201010), Functional Outcome of Swallowing Scale (FOSS), and the Reflux Symptom Index (RSI)\u2014were completed preoperatively and at 3 and 6\u00a0months postoperatively. Videofluoroscopic studies were obtained and analyzed by our senior speech\u2010language pathologist, who was blinded to the clinical outcomes.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Eighteen patients were included (11 women; mean age, 72.6 years; range, 53\u201086 years). All patients had ZD on preoperative videofluoroscopic swallowing studies. The most common comorbidities included hypertension (10 of 18, 55.6%), dyslipidemia (8 of 18, 44.4%), hiatal hernia (6 of 18, 33.3%), and gastroesophageal reflux disease (5 of 18, 27.8%). Median preoperative RSI was 27 (interquartile range [IQR], 22.5\u201031.5); FOSS, 2 (IQR, 2\u20103); and EAT\u201010, 21.5 (IQR, 13.5\u201027.5). The 3\u2010month questionnaire (88.9% completion) demonstrated an improved median RSI of 5 (IQR, 1\u20107.5; <jats:italic>P<\/jats:italic> &lt;. 001), FOSS of 0 (IQR, 0; <jats:italic>P<\/jats:italic> &lt;. 001), and EAT\u201010 of 0 (IQR, 0\u20103; <jats:italic>P<\/jats:italic> &lt;. 001). Fourteen patients (77.8%) completed the 6\u2010month questionnaire, demonstrating a median RSI of 4 (IQR, 0\u20108), FOSS of 0 (IQR, 0\u20100.5), and EAT\u201010 of 1 (IQR, 0\u20103). While regurgitation decreased following surgery (<jats:italic>P<\/jats:italic> =. 007), nighttime cough did not (<jats:italic>P<\/jats:italic> =. 25).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>This study supports an improvement in functional outcome and quality of life in patients with ZD undergoing DCPM.<\/jats:p><\/jats:sec>","DOI":"10.1177\/0194599815616078","type":"journal-article","created":{"date-parts":[[2015,11,10]],"date-time":"2015-11-10T20:58:26Z","timestamp":1447189106000},"page":"322-327","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":22,"title":["Short\u2010term Quality\u2010of\u2010Life Outcomes following Transoral Diverticulotomy for Zenker\u2019s Diverticulum"],"prefix":"10.1002","volume":"154","author":[{"given":"Kathryn M.","family":"Van Abel","sequence":"first","affiliation":[{"name":"Department of Otolaryngology\u2013Head and Neck Surgery Mayo Clinic School of Medicine Rochester Minnesota USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nicole M.","family":"Tombers","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2013Head and Neck Surgery Mayo Clinic School of Medicine Rochester Minnesota USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kari A.","family":"Krein","sequence":"additional","affiliation":[{"name":"Department of Speech and Language Pathology Mayo Clinic School of Medicine Rochester Minnesota USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eric J.","family":"Moore","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2013Head and Neck Surgery Mayo Clinic School of Medicine Rochester Minnesota USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Daniel L.","family":"Price","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2013Head and Neck Surgery Mayo Clinic School of Medicine Rochester Minnesota USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jan L.","family":"Kasperbauer","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2013Head and Neck Surgery Mayo Clinic School of Medicine Rochester Minnesota USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael L.","family":"Hinni","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2013Head and Neck Surgery Mayo Clinic School of Medicine Rochester Minnesota USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"David G.","family":"Lott","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2013Head and Neck Surgery Mayo Clinic School of Medicine Rochester Minnesota USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dale C.","family":"Ekbom","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2013Head and Neck Surgery Mayo Clinic School of Medicine Rochester Minnesota USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2015,11,10]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1442-2050.2006.00587.x"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1002\/lary.24415"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.cgh.2013.09.016"},{"issue":"4","key":"e_1_2_9_5_1","doi-asserted-by":"crossref","DOI":"10.1016\/S0002-9343(99)00334-4","article-title":"Management of upper esophageal sphincter disorders: indications and complications of myotomy","volume":"108","author":"Kelly JH","year":"2000","journal-title":"Am J Med"},{"key":"e_1_2_9_6_1","first-page":"2085","volume-title":"Videofluoroscopic Evaluation of Oropharyngeal Swallowing","author":"Goldsmith TA"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.1002\/14651858.CD004303.pub2"},{"key":"e_1_2_9_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.otc.2013.08.006"},{"key":"e_1_2_9_9_1","doi-asserted-by":"publisher","DOI":"10.1177\/000348940811701210"},{"key":"e_1_2_9_10_1","doi-asserted-by":"publisher","DOI":"10.1159\/000016941"},{"key":"e_1_2_9_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0892-1997(02)00097-8"},{"key":"e_1_2_9_12_1","doi-asserted-by":"publisher","DOI":"10.1002\/hed.2880150315"},{"key":"e_1_2_9_13_1","unstructured":"BattacharyyaN.Cricopharyngeal myotomy.http:\/\/emedicine.medscape.com\/article\/836966\u2010overview. 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