A. Jacobson

Killian-Jamieson diverticulum: a case for open transcervical excision.

Killian‐Jamieson diverticulum (KJD) is rare hypopharyngeal defect. As in other forms of esophageal diverticuli (i.e., Zenkers), recent literature has described minimally invasive endoscopic approaches to its management. 1 , 2 We present a case of a 62‐year‐old female with symptoms consistent with an esophageal diverticulum. A barium swallow study was consistent with a KJD. The patient was brought to the operating room and endoscopically examined to confirm the presence of this entity. A open transcervical approach was performed to remove the diverticulum without complication. During our dissection, the recurrent laryngeal nerve (RLN) was noted to be adherent to the base of the diverticulum and needed to be freed prior to performing the diverticulectomy. We provide a review of recent literature and medical illustrations to highlight the importance of the open transcervical approach in the management of KJD to avoid inadvertent transection of the RLN.

Asymptomatic lower extremity deep venous thrombosis resulting in fibula free flap failure.

The successful harvest and transplant of a fibular flap depends on many factors, including healthy inflow and outflow systems. A contraindication to harvesting a fibular flap is disease of the lower extremity arterial system; therefore, preoperative evaluation of the arterial system is routine. Preoperative evaluation of the venous system is not routine, unless there is clinical suspicion of venous disease.

Transoral mandibulectomy and double barrel fibular flap reconstruction

Keywords: Mandibular reconstruction; oral cavity; double barrel fibular flap; transoral; quality of life