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Head Neck. 2003 May;25(5):357-60.

Ruptured internal jugular vein: a postoperative complication of modified/selected neck dissection.

Author information

1
Department of Otolaryngology/Head and Neck Surgery, Oregon Health Sciences University, Portland, OR 97201, USA.

Abstract

BACKGROUND:

Postoperative hemorrhage from the internal jugular vein after a modified or selective neck dissection is an infrequent, yet potentially life-threatening, complication. Despite the increasing frequency of modified or selective neck dissections, this complication has not been previously highlighted in the literature.

SETTING:

Tertiary referral academic center.

MATERIAL AND METHODS:

The records of six patients who experienced this complication were reviewed and analyzed for risk factors that might predict its occurrence.

RESULTS:

Common risk factors included postoperative pharyngeal fistula formation, significant tobacco history, and poor nutritional status. A more complete circumferential dissection of the vein low in the neck in the presence of hypopharyngeal fistula may place it at a higher risk for rupture.

CONCLUSIONS:

Patients who have a complete circumferential dissection of the internal jugular vein low in the neck and go on to have fistulas develop may be more prone to internal jugular vein rupture.

PMID:
12692871
DOI:
10.1002/hed.10219
[Indexed for MEDLINE]
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