Bilateral radical neck dissection with immediate reconstruction of the internal jugular vein

The benefits to modified radical neck dissection (MRND) are established but the procedure involves substantial neck dissection with occasional resection of the internal jugular vein (IJV). Loss of the IJV is associated with morbidity including increased cerebral edema, stroke, laryngeal edema, blindness, facial fullness, and dural thrombosis. This paper discusses the morbidity associated with MRND, especially regarding venous outflow concerns and technical approaches to IJV reconstruction. Patients who have previously undergone MRND may benefit from immediate reconstruction and/or reanastomosis of the IJV. An attempt to maintain at least one major functional venous drainage point for the head and neck is indicated to minimize the significant morbidity and mortality of bilateral loss of the IJVs. The Katsuno classification system of type A, B, and C IJV reconstruction methods, and the novel type K reconstruction, are discussed as methods of maintaining venous outflow from the head and neck.

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Three Types of Internal Jugular Vein Reconstruction in Bilateral Radical Neck Dissection

The Laryngoscope ◽

10.1097/00005537-200009000-00034 ◽

2000 ◽

Vol 110 (9) ◽

pp. 1578-1580 ◽

Cited By ~ 10

Author(s):

Satoshi Katsuno ◽

Tetsuya Ishiyama ◽

Kiminori Nezu ◽

Shin-ichi Usami

Keyword(s):

Neck Dissection ◽

Internal Jugular Vein ◽

Jugular Vein ◽

Radical Neck Dissection

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Internal jugular vein patency after modified radical neck dissection in patients with oral cancer

Japanese Journal of Oral & Maxillofacial Surgery ◽

10.5794/jjoms.56.422 ◽

2010 ◽

Vol 56 (7) ◽

pp. 422-427 ◽

Cited By ~ 1

Author(s):

Takashi SHIGETA ◽

Masahiro UMEDA ◽

Tsutomu MINAMIKAWA ◽

Tomoko KATAOKA ◽

Akiko OGUNI ◽

...

Keyword(s):

Oral Cancer ◽

Neck Dissection ◽

Internal Jugular Vein ◽

Jugular Vein ◽

Radical Neck Dissection ◽

Modified Radical Neck Dissection

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Bilateral radical neck dissection with unilateral internal jugular vein reconstruction

The Laryngoscope ◽

10.1097/00005537-199811000-00019 ◽

1998 ◽

Vol 108 (11) ◽

pp. 1692-1696 ◽

Cited By ~ 22

Author(s):

Pavel Dulguerov ◽

Christian Soulier ◽

Jean Maurice ◽

Bernard Faidutti ◽

Abdelkarim S. Allal ◽

...

Keyword(s):

Neck Dissection ◽

Internal Jugular Vein ◽

Jugular Vein ◽

Radical Neck Dissection

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Carcinoid Tumor of the Larynx

Annals of Otology Rhinology & Laryngology ◽

10.1177/000348948109000111 ◽

1981 ◽

Vol 90 (1) ◽

pp. 42-47 ◽

Cited By ~ 12

Author(s):

Boris Gapany-Gapanaviĉius ◽

Samuel Kenan

Keyword(s):

Lymph Nodes ◽

Neck Dissection ◽

Internal Jugular Vein ◽

Laryngeal Carcinoma ◽

Total Laryngectomy ◽

Jugular Vein ◽

Radical Neck Dissection ◽

Surgical Excision ◽

Cervical Lymph Nodes ◽

Electron Microscopical

Primary carcinoid of the larynx is an unusual neoplasm. Only one case could be traced in the literature so far. Another case, a 55-year-old male patient, is presented and discussed. The tumor proved to be malignant, showing histological, histochemical and electron microscopical characteristics of a carcinoid. Initially there was a striking discrepancy between the scanty findings in the larynx and the wide metastatic spread of the tumor into the cervical lymph nodes along the internal jugular vein, and the progression of the process was markedly slower than that of laryngeal carcinoma. Despite the massive dose of radiotherapy that had been administered after radical neck dissection in an attempt to preserve the larynx, the tumor continued to expand, infiltrating the laryngeal tissues and causing stenosis that necessitated total laryngectomy, thus again proving that the treatment of choice in laryngeal carcinoid should be wide surgical excision.

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