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ENT · Hypopharynx: Laimer's triangle
Sample itemIn the upper oesophagus, which triangular area on the posterior wall below the cricopharyngeus has only longitudinal muscle fibres and is prone to perforation by instruments?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
A. Laimer's triangle
Laimer's triangle is a posterior area of the cervical oesophagus just below the cricopharyngeus where the circular fibres are deficient and only longitudinal muscle is present. It is a site of weakness and vulnerable to oesophageal perforation during endoscopy. Killian's dehiscence lies above the cricopharyngeus.
Option by option
A. Laimer's triangle (correct)
Correct. Laimer's triangle is the weak posterior wall area.
B. Killian's triangle
Killian's dehiscence is above the cricopharyngeus.
C. Trautmann's triangle
Trautmann's triangle is in the mastoid.
D. Little's area
Little's area is a nasal septal site.
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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