Internal to external jugular vein bypass allowing for simultaneous bilateral radical neck dissection

Abstract

4.

Reviewing the External Jugular to Internal Jugular Vein Bypass for Circumventing Venous Congestion: Technique Description And Case Correlates

“…In 2015, Mourad et al reported the clinical outcomes of 8 patients who underwent bilateral RND and IJV sacrifice with the type A reconstruction due to gross involvement of bilateral IJVs necessitating sacrifice. The postoperative evaluation revealed no elevation of ICP, and the ophthalmologic findings were normal 7 . Most recently, in 2020, Daurade et al described a successful novel modification of the Katsuno type B, single-stage approach to bilateral IJV reconstruction involving an autologous vein patch from the ipsilateral EJV, citing downfalls associated with a 2-stage approach.…”

“…The postoperative evaluation revealed no elevation of ICP, and the ophthalmologic findings were normal. 7 Most recently, in 2020, Daurade et al described a successful novel modification of the Katsuno type B, singlestage approach to bilateral IJV reconstruction involving an autologous vein patch from the ipsilateral EJV, citing downfalls associated with a 2-stage approach. Acknowledged limitations included that this grafting technique may significantly exacerbate the loss of central venous blood flow in the event of reperfusion failure.…”

Reconstruction for Bilateral Internal Jugular Vein Perfusion Disruption

“…7,8 Complications of perfusion failure in the IJV, including blindness, syndrome of inappropriate antidiuretic hormone secretion airway obstruction, cerebral infarction and even death have been reported. 1,2 To avoid these complications, a two-stage neck dissection or simultaneous reconstruction of the IJV is recommended. 1 We found reports of unilateral IJV reconstruction but no reports of bilateral IJV reconstruction.…”

“…1,2 To avoid these complications, a two-stage neck dissection or simultaneous reconstruction of the IJV is recommended. 1 We found reports of unilateral IJV reconstruction but no reports of bilateral IJV reconstruction. The veins used to reconstruct the IJV include the great saphenous vein, EJV and artificial blood vessels.…”

“…When blood flow to the internal jugular veins (IJV) is disrupted by bilateral neck dissection, intracranial pressure increases due to venous insufficiency, along with the associated risk of complications such as blindness and cerebral infarction. 1,2 We experienced a case, in which, the contralateral IJV was accidentally damaged during unilateral IJV resection, resulting in intraoperative bilateral bulbar conjunctival edema immediately after the incident. Emergency reconstruction of the IJV was performed by anastomosis of the IJV with the communicating vein of the external jugular vein (EJV), with return of perfusion and improvement of the patient's symptoms.…”