# Understanding Zenker’s Diverticulum Treatment: Transoral CO2 Laser Microsurgery

## TL;DR

A 36-year-old woman with Zenker’s diverticulum was successfully treated using transoral CO2 laser microsurgery, with no recurrence after four months.

## Contribution

The paper provides a detailed clinical case with endoscopic views and a step-by-step surgical technique using CO2 laser for Zenker’s diverticulum.

## Key findings

- The patient was asymptomatic and showed no recurrence four months post-surgery.
- The transoral CO2 laser microsurgery technique was effectively demonstrated with video documentation.

## Abstract

The authors present a case of a 36-year-old woman with a recurrent throat foreign body sensation and persistent dysphagia. On physical examination, a polypoid mass was visible at the postcricoid region, mobile with swallowing. A barium swallowing test confirmed the diagnosis of Zenker’s diverticulum. The patient underwent transoral CO2 laser microsurgery for excision of the pharyngeal pouch. At the four-month evaluation, the patient was remarkably asymptomatic and without evidence of recurrence. This clinical case illustrates in detail the endoscopic view of the pre and postoperative aspects of the pharyngeal pouch, showing a step-by-step transoral CO2 laser microsurgery technique, with video.