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KMID : 1004320160270020134
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Journal of the Korean Society of Logopedics and Phoniatrics
2016 Volume.27 No. 2 p.134 ~ p.137
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A Case of Killian-Jamieson Diverticulum in the Esophagus
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Seon Sang-Woo
Jung Jae-Hyun
Lee Eun-Sang
Lee Seung-Won
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Abstract
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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.
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KEYWORD
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Killian-Jamieson diverticulum, Diverticulectomy, Cervical approach, Sternocleidomastoid muscle flap
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