case_images: PMC10907057_01
case_images: Flexible laryngoscopic examination showing a polypoid mass at the postcricoid region (arrow).
case_images: cureus-0016-00000053329-i01.jpg
case_images: PMC10907057_01_cureus-0016-00000053329-i01.jpg
case_images: FIG1
case_images: On physical examination, by flexible laryngoscopy, a polypoid mass was visible at the postcricoid region, mobile with swallowing (Figure 1, Video 1).
case_images: Flexible laryngoscopic examination showing a polypoid mass at the postcricoid region, mobile with swallowing.. Transoral laser microsurgery with excision of pharyngeal pouch.
case_images: .jpg
case_images: PMC10907057_01_.jpg
case_images: VID1
case_images: Cervical computed tomography with no clear evidence of pharyngeal pouch.
case_images: cureus-0016-00000053329-i02.jpg
case_images: PMC10907057_01_cureus-0016-00000053329-i02.jpg
case_images: FIG2
case_images: Barium swallowing test showing a small contrast retention suggestive of a pharyngeal pouch.
case_images: cureus-0016-00000053329-i03.jpg
case_images: PMC10907057_01_cureus-0016-00000053329-i03.jpg
case_images: FIG3
case_images: The first step was to identify the diverticulum, the postcricoid region, and the esophageal lumen (Figures 4a, 4b). Diverticulum excision was performed with a CO2 laser at 5 watts: it was excised by its pedicle through the mucosal and submucosal layers, with identification of the muscular layer and division of its fibers (Figures 4c, 4d), keeping in mind not to transect the buccopharyngeal fascia. Stitches with resorbable material (vicryl 5-0) were made to approximate the redundant mucosa (Figures 4e, 4f).
case_images: Transoral laser microsurgery (pharyngeal pouch identified with asterisk). (a, b) Pharyngeal pouch; (c, d) laser excision of the pharyngeal pouch; (e) stitches with resorbable material; (f) result after surgery.
case_images: cureus-0016-00000053329-i04.jpg
case_images: PMC10907057_01_cureus-0016-00000053329-i04.jpg
case_images: FIG4
case_images: At the four-month evaluation, the patient was remarkably asymptomatic and without evidence of recurrence (Figure 5).