Preservation of the External Jugular Venous Drainage System in Neck Dissection

Chung, Man Ki; Choi, Ji Yoon; Lee, Jae-Kwon; Jeong, Jong In; Lee, Won Yong; Jeong, Han‐Sin

doi:10.1016/j.otohns.2009.08.031

Cited by 10 publications

(13 citation statements)

References 17 publications

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“…In the literature, the effects of ND on CCA and IJV have been discussed [19][20][21]. There are also studies about the patency of IJV in ND [22,23].…”

Section: Discussionmentioning

confidence: 99%

Transient postsurgical gastroparesis is accompanied by reversible changes of the cervical vagus nerve’s morphology after neck dissection – an ultrasound study

Özçağlayan

Ersözlü

2020

Med Ultrason

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Aims: During neck dissection (ND), the vagus nerve (VN) may be exposed to manipulation together with common carotid artery and internal jugular vein. The postsurgical gastroparesis was previous related to the VN injury. The aim of our study was to evaluate by ultrasound the VN changes in patients with unilateral and bilateral ND and to establish if there is a relationship between postoperative findings of VN and postsurgical gastroparesis.Material and methods: Seventeen patients in which 30 ND (4 unilateral and 13 bilateral) were performed, were enrolled in the study. The VN’s area and diameter were measured preoperative (baseline), one week (T1) and one month (T2) postoperative. Gastrointestinal symptoms were evaluated at T1 and T2 phases using the patient assessment of the upper gastrointestinal symptom severity index (PAGI-SYM).Results: There was a statistical difference between area and diameters of VN between T1 and baseline (p<0.001), and T1 and T2 phases (p<0.001), respectively. No statistical differences were detected at baseline and T2 phases in areas (p=0.934) and diameters (p>0.999). Gastrointestinal symptoms, found at the T1 phase regressed at T2 phase, were correlated with VN area and diameter changes (p<0.001).Conclusions: VN ultrasound clearly showed the transient dimensional changes of VN caused by manipulation in ND, which may lead to temporary gastrointestinal symptoms due to reversible dysfunction of VN.

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“…In the literature, the effects of ND on CCA and IJV have been discussed [19][20][21]. There are also studies about the patency of IJV in ND [22,23].…”

Section: Discussionmentioning

confidence: 99%

Transient postsurgical gastroparesis is accompanied by reversible changes of the cervical vagus nerve’s morphology after neck dissection – an ultrasound study

Özçağlayan

Ersözlü

2020

Med Ultrason

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“…In the present case, the external jugular vein (EJV) was sacrificed because the authors believed that the venous drainage was sufficient owing to the unilateral IJV preservation. However, Chung et al 19 concluded that EJV preservation could help decrease the immediate postoperative neck edema related to neck dissection. Preservation of the EJV might be recommended for a bilateral neck dissection, even if a unilateral IJV is preserved.…”

Section: Discussionmentioning

confidence: 99%

Emergency Cricothyroidotomy for Difficult Airway Management After Asynchronous Bilateral Neck Dissections: A Case Report and Literature Review

Uehara

Kokuryo

Sasaguri

et al. 2015

Journal of Oral and Maxillofacial Surgery

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“…[2] A number of anatomical variations of the external jugular vein are found either in its formation, course, tributaries or termination. [3] Clinically the external jugular vein is approached for the cannulation, [4] surgical central venous pressure measurement and various radiological procedures. [5] So any variations in the formation, course and drainage of the external jugular vein can influence the outcome of the surgeons, clinical and radiologists.…”

Section: Introductionmentioning

confidence: 99%

Drainage of the External Jugular vein Into the Internal Jugular Vein-A Rare Variation

Sehmi¹

2017

Acad. Anat. Int.

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There are a number of variations of the superficial veins of the head and neck reported so far. Some are commonly found and some are present rarely. These are influencing the performance of surgeons operating in the head and neck region, clinicians as well as radiologists. Material and Methods-The present variation was noticed during routine dissection of head and neck of 48year old male adult cadaver in the Department of Anatomy. Sri Guru Ram Das Institute of Medical Sciences and Research Vallah (Punjab). A rare variation of the drainage of the external jugular vein directly into the internal jugular vein on the right side was noted. The formation of the right external jugular vein was found normal. The veins on the left side were normal. The sites for long term central venous catheterization are the external jugular vein, internal jugular vein or subclavian vein. The present rare variation will alert clinicians and surgeons performing neck, vascular or reconstructive surgery about unexpected variations of the external jugular vein in the hope of preventing inadvertent injury.

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Preservation of the External Jugular Venous Drainage System in Neck Dissection

Abstract: EJV preservation may reduce immediate postoperative neck edema and pain/discomfort related to neck dissection.

Cited by 10 publications

References 17 publications

Transient postsurgical gastroparesis is accompanied by reversible changes of the cervical vagus nerve’s morphology after neck dissection – an ultrasound study

Transient postsurgical gastroparesis is accompanied by reversible changes of the cervical vagus nerve’s morphology after neck dissection – an ultrasound study

Emergency Cricothyroidotomy for Difficult Airway Management After Asynchronous Bilateral Neck Dissections: A Case Report and Literature Review

Drainage of the External Jugular vein Into the Internal Jugular Vein-A Rare Variation

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