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Internal to external jugular vein bypass allowing for simultaneous bilateral radical neck dissection
Author(s) -
Mourad Moustafa,
Saman Masoud,
Ducic Yadranko
Publication year - 2015
Publication title -
the laryngoscope
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.181
H-Index - 148
eISSN - 1531-4995
pISSN - 0023-852X
DOI - 10.1002/lary.25428
Subject(s) - medicine , internal jugular vein , neck dissection , surgery , external jugular vein , jugular vein , dissection (medical) , cancer
Objectives/Hypothesis The goal of the study was to determine the role of internal jugular vein (IJV) to external jugular vein (EJV) bypass grafting in the setting of bilateral radical neck dissection with IJV sacrifice. Study Design The study group consisted of eight patients who underwent bilateral radical neck dissection with IJV sacrifice. Demographic and oncologic parameters were defined for each patient, including age, gender, and pathology. Patients were monitored and evaluated for potential effects of increased intracranial pressure (ICP). Doppler ultrasonic evaluation was performed to assess patency of the site of anastamoses. Results In all, six patients underwent unilateral bypass grafting, whereas two patients underwent bilateral bypass grafts. Average age at time of surgery was 68.2 (range 56–71). Postoperatively, no sequelae of increased ICP were noted. Follow‐up ultrasonic evaluation revealed patent vessels in all patients. Conclusion We presently report on the use of EJV‐to‐IJV bypass grafting for all patients undergoing bilateral radical neck dissection for extensive neck disease. Level of Evidence 4. Laryngoscope , 125:2480–2484, 2015