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ENT · Hypopharynx: Killian-Jamieson space
Sample itemA patient has a pulsion diverticulum arising below the cricopharyngeus on the lateral wall of the cervical oesophagus. What is the site called?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
B. Killian-Jamieson space
The Killian-Jamieson space is a weak area in the anterolateral wall of the cervical oesophagus just below the cricopharyngeus, where the recurrent laryngeal nerve enters. It is a rarer site for diverticula than Killian's dehiscence above the cricopharyngeus. Such diverticula are usually small and lateral.
Option by option
A. Killian's dehiscence
Killian's dehiscence lies above the cricopharyngeus posteriorly.
B. Killian-Jamieson space (correct)
Correct. The space lies below cricopharyngeus on the lateral wall.
C. Sinus of Morgagni
The sinus of Morgagni is the gap above the superior constrictor through which the eustachian tube and levator palati pass.
D. Laimer's triangle
Laimer's triangle is on the posterior wall below the cricopharyngeus.
Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.
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