Bismarck
(701) 805-8057

Looking for an alternative to

traditional ear tubes for your child?

We are pleased to off the newest option called the  

HUMMINGBIRD

PROCEDURE

• No anesthesia

• No fasting

• < 5 Minutes to complete

• Performed in office

https://www.kfyrtv.com/video/2020/10/20/bismarck-doctor-uses-new-technology-make-ear-tube-surgeries-easier

https://www.hummingbirdeartubes.com

https://www.kxnet.com/news/hummingbird-device

PRAIRIE SEA CLINCS CORONAVIRUS INFORMATION PAGE

http://www.prairieseaclinic.com/coronavirus---covid-19.html

 

HELPFUL CORONAVIRUS LINKS:

*  CDC:  https://www.cdc.gov/coronavirus/2019-nCoV/index.html

*  NORTH DAKOTA DEPT OF HEALTH GUIDELINES: https://www.health.nd.gov/diseases-conditions/coronavirus

*  NORTH DAKOTA CORONAVIRUS NEWS FEED: https://www.health.nd.gov/news

*  CORONAVIRUS NORTH DAKOTA HOTLINE AND PREPARATION GUIDELINES:  https://www.health.nd.gov/diseases-conditions/coronavirus/coronavirus-public

*  15 DAYS TO SLOW THE SPREAD (CDC/WhiteHouse): https://www.whitehouse.gov/wp-content/uploads/2020/03/03.16.20_coronavirus-guidance_8.5x11_315PM.pdf

*  SOCIAL DISTANCING GUIDELINES:  VIRUS SPREAD MAY OCCUR BEFORE SYMPTOMS:  HELP PROTECT PEOPLE JUST LIKE US, PARENTS, GRANDPARENTS, BROTHERS AND SISTERS, FAMILY, FRIENDS, NEIGHBORS, AND CO-WORKERS, AND COMMUNITY:  https://www.npr.org/sections/health-shots/2020/03/16/816490025/quarantine-self-isolation-social-distancing-what-they-mean-and-when-to-do-them

*  CHILDCARE AWARE - CHILDCARE RESOURCE INFORMATION:  https://ndchildcare.org/providers/coronavirus.html

*  BISMARCK PUBLIC SCHOOL INFORMATION: https://www.bismarckschools.org/covid-19

*  NORTH DAKOTA DEPT OF PUBLIC INSTRUCTION INFORMATION: https://www.nd.gov/dpi/nddpi-updates-and-guidance-covid-19

*  HANDWASHING GUIDELINES POSTER: http://blogs.und.edu/coronavirus/wp-content/uploads/sites/127/2020/03/NDDOH-Prevent-COVID-19.pdf

*  SEASONAL FLU VS CORONAVIRUS INFOGRAPHIC (CDC): https://www.cdc.gov/flu/resource-center/freeresources/graphics/seasonal-vs-pandemic-flu-infographic.htm

https://www.livescience.com/coronavirus-flatten-the-curve.html


Our team of specialists and staff believe that informed patients are better equipped to make decisions regarding their health and well being. For your personal use, we have created an extensive patient library covering an array of educational topics. Browse through these diagnoses and treatments to learn more about topics of interest to you. Or, for a more comprehensive search of our entire Web site, enter your term(s) in the search bar provided.

As always, you can contact our office to answer any questions or concerns.

A Zenker’s diverticulum (ZD) is a rare condition where an “outpouching” occurs where your throat meets your esophagus, the swallowing pipe that leads into your stomach. When this happens, a pouch forms and mucous, food, and/or liquid can become stuck instead of going down your esophagus and into your stomach like normal.

What Are the Symptoms of ZD?

If you have a ZD, you may experience:

  • Difficulty swallowing
  • Regurgitating or vomiting undigested food hours after eating
  • Inhaling food or saliva down your windpipe (called aspiration)
  • Belching
  • Noisy swallowing 
  • Bad breath
  • Choking
  • Coughing
  • Hoarseness
  • Feeling like something is stuck in the back of your throat
  • Weight loss
  • Recurrent lung infections in severe cases

What Causes ZD?

ZD is most commonly caused by increased tension in the muscle at the top of your esophagus (called the cricopharyngeus muscle), which obstructs the proper passage of food and liquids into your stomach.

What Are the Treatment Options?

If you have any of the symptoms mentioned here, you should be examined by an ENT (ear, nose, and throat) specialist, or otolaryngologist. Your ENT specialist may diagnose your condition using a “barium swallow” study. This is a special type of X-ray test that helps your doctor take a closer look at the back of your mouth, throat, and esophagus to see how you swallow food and liquid.

There are no current medications to treat ZD, so the usual treatment is surgery unless your ZD is small and doesn’t cause too much difficulty or discomfort. If your doctor recommends surgery, however, there are several options including making an incision on the neck, as opposed to a less-invasive approach through the mouth.

For open surgery, a small incision is made in the neck and the pouch is either removed or tacked upside down so that it doesn’t collect food. During this procedure the muscle below the ZD, your cricopharyngeus muscle, is cut to prevent recurrence of the ZD. Most patients stay in the hospital for a few days after surgery to recover from this procedure.

During an endoscopy or approach through the mouth to make repairs, there are no incisions on the outside of the neck. With this approach, a stapling device is used to divide the wall between the esophagus and the ZD to make a common cavity for food and liquid to flow directly into the esophagus without becoming stuck. Your doctor can discuss the pros and cons of each procedure and help you choose the best option for you.

Following surgery, you may notice: 

  • A sore throat
  • Pain in your ears
  • Pain at your incision site
  • Pain in your jaw joints

You should call your ENT specialist if you experience any of these post-surgical symptoms:

  • If you have a hard time breathing (go to ER or call 911)
  • If you have signs of a wound infection (fever, redness, swelling, tenderness, pus-like drainage)
  • If you have chest, upper back, or neck pain
  • If you cough up or vomit more than a few tablespoons of blood
  • If you have a fever over 101 degrees Fahrenheit

What Questions Should I Ask My Doctor?

  1. What can I eat following surgery?
  2. Will I have pain?
  3. Will a ZD reoccur after it has been removed?

 

References
Overbeek JJM. Pathogenesis and methods of treatment of Zenker’s diverticulum. Ann Otol Rhinol Laryngol 2003;112:583–593.
Phillepsen LP, Weisberger EC, Whiteman TS, Schmidt JL. Endoscopic stapled diverticulotomy: treatment of choice for Zenker’s diverticulum. Laryngoscope 2000;110:1283–1286.
Leibowitz JM, Fundakowski CE, Abouyared M, et al. Surgical techniques for Zenker’s diverticulum: a comparative analysis. Otolaryngol Head Neck Surg 2014;151:52–58.

Copyright 2021. American Academy of Otolaryngology–Head and Neck Surgery Foundation. Last reviewed April 2020.


Contact Us

Prairie Sinus Ear & Allergy PC

3000 N 14th St 3rd FloorBismarck, ND 58503
 

Prairie Sinus Ear & Allergy is recognized as an AudigyCertified™ practice. AudigyCertified™ expertise is measured by commitment to patient satisfaction, continuing education, and the expert application of current technology.