Internal jugular vein reconstruction: An algorithm for reconstructive surgeons.
Oral Oncol
; 145: 106523, 2023 10.
Article
in En
| MEDLINE
| ID: mdl-37499330
ABSTRACT
OBJECTIVES:
The internal jugular vein (IJV) provides critical drainage from the brain, skull, and deep regions of the face and neck. Compromise to the bilateral IJVs has severe sequelae, but even unilateral IJV sacrifice or thrombosis after treatment can have sequelae. Despite the potential role of IJV reconstruction for head and neck surgeons, information about the indications, technique, and outcomes of the procedure are sparse. PATIENTS ANDMETHODS:
We present a woman who had IJV sacrifice for an oral cavity cancer along with a contralateral selective neck dissection and adjuvant chemoradiation who developed occlusion of the contralateral IJV after her treatment, resulting in unacceptable cervical lymphedema and extensive neck varicosities. An end-to-side bypass from the superior IJV to the ipsilateral external jugular vein was performed.RESULTS:
There were no complications from the procedure, which resulted in dissipation of her preoperative symptoms. We describe the literature surrounding IJV reconstruction, considerations for its use, the technique itself, and advice for perioperative management.CONCLUSION:
IJV reconstruction is a valuable but underutilized technique for the head and neck microvascular surgeon in cases of bilateral threatened IJV outflow.Key words
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Jugular Veins
/
Neck
Type of study:
Prognostic_studies
Limits:
Female
/
Humans
Language:
En
Journal:
Oral Oncol
Year:
2023
Document type:
Article