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Factors influencing internal jugular vein patency after neck dissection in oral cancer
Factors influencing internal jugular vein patency after neck dissection in oral cancer
- Source :
- International Journal of Oral and Maxillofacial Surgery. 44:1218-1224
- Publication Year :
- 2015
- Publisher :
- Elsevier BV, 2015.
-
Abstract
- The objective was to investigate factors influencing internal jugular vein stenosis or occlusion after neck dissection, including the reconstructive procedure. The subjects were 73 patients (81 veins) who underwent a modified radical neck dissection, in which the internal jugular vein was preserved, or an extended supraomohyoid neck dissection (E-SOHND). All procedures were performed by the same surgeon. Internal jugular vein patency was evaluated by contrast-enhanced computed tomography. Patency was evaluated in relation to gender, side of dissection, number of pathological lymph node metastases, extracapsular spread of lymph node metastases, radiotherapy, and the reconstruction method (no reconstruction, free flap, or pedicle flap). All internal jugular vein occlusions were on the left side and all except one of these patients underwent radiotherapy. Thus, radiotherapy and left side dissection were significant risk factors for occlusion. Free flap reconstruction was not a risk factor for vein stenosis or occlusion. Patients undergoing reconstruction with pedicled musculocutaneous flaps or E-SOHND were less likely to have vein occlusion. Particular care is required for left neck dissection in patients who have undergone radical neck dissection on the right side. This study suggests that covering the internal jugular vein with the muscle might prevent vein occlusion.
- Subjects :
- Adult
Male
medicine.medical_specialty
Iohexol
medicine.medical_treatment
Contrast Media
Free flap
Dissection (medical)
Surgical Flaps
Modified Radical Neck Dissection
Postoperative Complications
Japan
Risk Factors
medicine
Humans
Vein
Internal jugular vein
Vascular Patency
Aged
Aged, 80 and over
Venous Thrombosis
business.industry
Incidence
Neck dissection
Middle Aged
Plastic Surgery Procedures
medicine.disease
Thrombosis
Vein occlusion
Surgery
medicine.anatomical_structure
Otorhinolaryngology
Lymphatic Metastasis
cardiovascular system
Neck Dissection
Female
Mouth Neoplasms
Radiology
Jugular Veins
Oral Surgery
Tomography, X-Ray Computed
business
Subjects
Details
- ISSN :
- 09015027
- Volume :
- 44
- Database :
- OpenAIRE
- Journal :
- International Journal of Oral and Maxillofacial Surgery
- Accession number :
- edsair.doi.dedup.....a0c00ded3464e0386a5d2076434f2472
- Full Text :
- https://doi.org/10.1016/j.ijom.2015.06.009