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J Korean Soc Laryngol Phoniatr Logop > Volume 27(2); 2016 > Article
Journal of The Korean Society of Laryngology, Phoniatrics and Logopedics 2016;27(2): 134-137.
doi: https://doi.org/10.22469/jkslp.2016.27.2.134
건상검진상 발견된 Killian-Jamieson Diverticulum 1예
선상우, 정재현, 이은상, 이승원
순천향대학교 의과대학 이비인후-두경부외과학교실
A Case of Killian-Jamieson Diverticulum in the Esophagus
Sang Woo Seon, Jae hyun Jung, Eunsang Lee, Seung Won Lee
Department of Otorhinolaryngology-Head and Neck Surgery, Soonchunhyang University College of Medicine, Bucheon Hospital, Bucheon, Korea
Correspondence  Seung Won Lee ,Tel: (032) 621-5448, Fax: (032) 621-5016, Email: lsw0922@schmc.ac.kr
Received: 23 October 2016; Revised: October 23, 2016   Accepted: 10 November 2016.  Published online: 30 December 2016.
ABSTRACT
A Killian-Jamieson diverticulum (KJD) is an unfamillar and unusual cervical esophageal diverticulum. This diverticulum originates on the anterolateral aspect of the esophagus through the Killian-Jamieson’s area that is formed between cricopharyngeal muscle and the lateral to longitudinal esophageal muscle. Recently, we experienced a patient who was found outpouching lesion on lateral side of left esophagus on the duodenoscopy. Then, a barium esophagography performed and in left lateral position demonstrated a left-sided diverticulum with a frontal projection, highly suggestive of a KJD. There are two ways of surgical approach to manage the KJD. First is external approach, another one is endoscopic approach. In common, external approach has been recommended for the treatment of KJD because of concern of nerve injury. We present a case of KJD that underwent external approach and sternocleidomastoid muscle flap in the management of KJD.
KEY WORDS: Killian-Jamieson diverticulumDiverticulectomyCervical approachSternocleidomastoid muscle flap
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