Patency of Internal Jugular Vein after Modified Neck Dissection.
- Author:
Hyung Seok LEE
1
;
Kyung TAE
;
Jin Hyeok JEONG
;
Dae Hyun SHIN
;
Dong Woo PARK
Author Information
1. Department of Otolaryngology, College of Medicine, Hanyang University, Seoul, Korea. Hyent@chollian.net
- Publication Type:Original Article
- Keywords:
Intenal jugular vein;
Patency;
Modified neck dissection
- MeSH:
Blindness;
Edema;
Humans;
Jugular Veins*;
Myocutaneous Flap;
Neck Dissection*;
Neck*;
Risk Factors;
Ultrasonography
- From:Korean Journal of Otolaryngology - Head and Neck Surgery
1999;42(5):617-620
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
BACKGROUND AND OBJECTIVES: Preservation of the internal jugular vein is beneficial in bilateral neck dissection where sacrifice of both jugular veins (IJV) have been associated with death, cerebral damage, blindness, or permanent facial distortion. The benefit of preservation of the IJV in unilateral neck dissection is less clear. Potential benefits may include decreased edema, and reduced morbidity. This study was performed to define the postoperative patency rate of the IJV and to analyze the risk factors associated with occlusion of the IJV. MATERIALS & METHODS: Thirty-one patients, and fourty-one cases of modified neck dissection were evaulated postoperatively with Duplex pulsed ultrasonogram for patency of the internal jugular vein. RESULTS: The patency rate of internal jugular vein was 97.7%. IJV was narrowed in 4 patients who had been irradiated in their neck, postoperatively. Occlusion of the IJV was revealed in only one patient who underwent reconstruction with a pectoralis major myocutaneous flap. CONCLUSION: The patency rate of internal jugular vein following a modified neck dissection was extremely high in this study. Postoperative irradiation and bulky myocutaneous flap reconstruction method may present as risk factors contributing to the occlusion or narrowing of the IJV.
