Reduction of Free Water Clearance With Cephalic Venous Hypertension

Internal Jugular Vein Reconstruction in Bilateral Radical Neck Dissection followed by Free Flap Reconstruction: A Case Report

“…Simultaneous bilateral radical neck dissection can lead to serious morbidities secondary to the interruption of cerebral venous drainage. [1][2][3][4]6 The most common morbidity is facial swelling with increased intracranial pressure. 1,2,6 The increased intracranial pressure can also secondarily cause SIADH resulting in difficulties managing the balance of postoperative fluids and electrolytes.…”

“…1,2,6 The increased intracranial pressure can also secondarily cause SIADH resulting in difficulties managing the balance of postoperative fluids and electrolytes. 3 Rare but serious morbidities such as blindness, 4 stroke, and even death 2 have also been reported after simultaneous bilateral radical neck dissection.…”

“…Simultaneous sacrifice of the IJVs is known to cause critical complications, such as excessive postoperative head and facial edema, 1 facial cyanosis, increased intracranial pressure, 2 syndrome of inappropriate antidiuretic hormone secretion (SIADH), 3 blindness, 4 stroke, and even death. 2 Staged ligation of the IJVs with an interval of at least 1 month has been performed by many surgeons to avoid these postoperative complications.…”