Patency assessment of the internal jugular vein after neck dissection

Nagata, T.; Matsunaga, Kazuhide; Kawazu, Toshiyuki; Kawano, S; Oobu, Kazunari; Ohishi, Masamichi

doi:10.1016/j.ijom.2005.09.004

Cited by 7 publications

(5 citation statements)

References 21 publications

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“…Power Doppler ultrasonography may be more suitable for the evaluation of flow in occlusion cases since it is a dynamic procedure, although blood vessels may become compressed during examination with ultrasonography. In the evaluation of patency of the internal jugular vein, Nagata et al 7 found that power Doppler ultrasonography was useful for measuring blood flow, but that blood vessels were compressed on examination, which precluded the detection of slight changes in vessel diameter. In a comparison of enhanced CT and high-resolution ultrasound or colour-flow Doppler, Brown et al found no inconsistencies.…”

Section: Discussionmentioning

confidence: 99%

“…[1][2][3][4][5][6][7][8][9][10] Resection, occlusion, or stenosis of the bilateral internal jugular veins is likely to induce serious complications such as elevated intracranial pressure, facial oedema, visual impairment, and the syndrome of inappropriate antidiuretic hormone secretion (SIADH), and can lead to death. [11][12][13][14] Internal jugular vein thrombosis associated with pulmonary embolism is also a frequent complication 15 and may lead to anastomotic thrombosis in free flap reconstruction.…”

mentioning

confidence: 99%

“…[16][17][18] Risk factors for internal jugular vein occlusion and stenosis include technical problems associated with vessel dissection, such as the method of branch ligation, thermal injury to the vein caused by electrocautery, and dryness after outer membrane detachment, 1,8 and aspects of the reconstructive procedure, including pressure in internal jugular veins in the musculocutaneous flap. 1,[5][6][7] However, there are few reports on the relationship between the reconstructive procedure and internal jugular vein patency, and no consensus on this issue has been reached. Therefore, the aim of this study was to investigate factors influencing internal jugular vein stenosis or occlusion after neck dissection, including the reconstructive procedure.…”

mentioning

confidence: 99%

See 2 more Smart Citations

Factors influencing internal jugular vein patency after neck dissection in oral cancer

Makiguchi

Yokoo

Ogawa

et al. 2015

International Journal of Oral and Maxillofacial Surgery

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Section: Discussionmentioning

confidence: 99%

mentioning

confidence: 99%

mentioning

confidence: 99%

See 1 more Smart Citation

Factors influencing internal jugular vein patency after neck dissection in oral cancer

Makiguchi

Yokoo

Ogawa

et al. 2015

International Journal of Oral and Maxillofacial Surgery

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“…[24][25][26] Due to limited access to other modalities, the patients in our studies were assessed using computerized tomography (CT) only.…”

Section: Discussionmentioning

confidence: 99%

Is the recipient vein really the main concern? A cohort study of head and neck reconstruction

Webster

Chem

2009

Microsurgery

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The aim of this study was to verify the role of the venous drainage system in the pathogenesis of complications in microsurgical head and neck reconstruction. In a nonrandomized cohort study, 52 consecutive cases of complex head and neck microsurgical reconstruction were evaluated. The patients were divided in two groups based on the treatment: the deep (DVDG; n = 30) and superficial (SVDG; n = 22) venous drainage groups. The complications evaluated included vascular obstruction with partial or total loss of the microsurgical flap, inadequate healing (fistulas or suture dehiscence), and infections. The arterial anastomotic site, neoplastic recurrence, use of medications and neoadjuvant radiotherapy, flap selection, tumor histology, smoking/alcoholism, and systemic diseases had no effect on postoperative complications, while the venous component influenced the overall complication rate (chi-square test, P = 0.006). A protective effect was achieved in the DVDG when the overall complication rate was considered--relative risk (RR) 0.65, 95% confidence interval (CI) 0.45-0.94. The recipient vein should be the surgeon's main concern as it influenced the outcomes of patients undergoing complex microsurgical head and neck reconstruction. A protective effect was observed when the internal jugular vein drainage system was used for this purpose.

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“… 2 – 4 Preserving the internal jugular vein helps to reduce cerebral and laryngeal edema and is useful for microvascular reconstruction. 5 , 6 Preserving the SCM may maintain its ability to contract and may prevent cosmetic deformity of the neck. Few studies, however, revealed the postoperative condition of the SCM.…”

mentioning

confidence: 99%

Preventable Sternocleidomastoid Muscular Atrophy after Neck Dissection

Yamamoto

Sawai

Ishimoto

et al. 2015

Plastic and Reconstructive Surgery - Global Open

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Background:Modified radical neck dissection (mRND) [preserving the sternocleidomastoid muscle (SCM) and the spinal accessory nerve] and supraomohyoid neck dissection have become common surgical procedures for treating head and neck cancer. Postoperative severe asymmetry of the neck and severe atrophy of the SCM, however, have been demonstrated.Methods:Using computed tomographic images, cross-sectional areas of the SCMs were measured in 99 patients with carcinoma of the oral cavity who underwent unilateral mRND or supraomohyoid neck dissection. An asymmetry index was used.Results:Innervation to the SCM was preserved in 91 patients. The spinal accessory nerve and the innervation were sacrificed in 3 patients; the innervation was repaired in 5 patients. Sacrifice of innervation to the SCM resulted in extremely severe asymmetry. Repair of the innervation prevented severe asymmetry in 40%. Preservation of the innervation prevented severe asymmetry in 75% at the middle portion of the neck and in 56% at the lower portion after mRND.Conclusion:Preserving innervation to the SCM and gentle handling of the nerve during neck dissection could prevent severe asymmetry after neck dissection.

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Patency assessment of the internal jugular vein after neck dissection

Cited by 7 publications

References 21 publications

Factors influencing internal jugular vein patency after neck dissection in oral cancer

Factors influencing internal jugular vein patency after neck dissection in oral cancer

Is the recipient vein really the main concern? A cohort study of head and neck reconstruction

Preventable Sternocleidomastoid Muscular Atrophy after Neck Dissection

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