Cavernous sinus thrombosis: a late complication of head and neck surgery

2021 ◽  
Vol 14 (2) ◽  
pp. e240269
Author(s):  
Sandeep Bhoriwal ◽  
Kunal Dhall ◽  
Mukesh Yadav ◽  
Suryanarayana VS Deo
Keyword(s):  
Head And Neck ◽  
Neck Dissection ◽  
Cavernous Sinus ◽  
Sinus Thrombosis ◽  
Late Complication ◽  
Radical Neck Dissection ◽  
Neck Surgery ◽  
Head And Neck Surgery ◽  
Successful Outcome ◽  
Cavernous Sinus Thrombosis

Cavernous sinus thrombosis is a rare but fatal condition arising due to various infectious and noninfectious causes. Although its incidence is very low in the setting of head and neck surgery, including radical neck dissection, a high index of suspicion with prompt treatment is the key to a successful outcome. We report a case of a 50-year-old woman with a chondrosarcoma of left lower alveolobuccal complex who underwent en bloc tumour resection with infratemporal fossa clearance and left modified radical neck dissection. Subsequently, she developed cavernous sinus thrombosis, which was successfully managed with a multidisciplinary approach. This case highlights the importance of high clinical suspicion in the postoperative setting to diagnose this potentially lethal complication.

Transverse sinus thrombosis and venous infarction of the brain following unilateral radical neck dissection

1998 ◽  
Vol 112 (1) ◽  
pp. 88-91 ◽  
Author(s):  
Z. Z. Mahasin ◽  
M. Saleem ◽  
K. Gangopadhyay
Keyword(s):  
Head And Neck ◽  
Neck Dissection ◽  
Sinus Thrombosis ◽  
Radical Neck Dissection ◽  
Neck Surgery ◽  
Transverse Sinus ◽  
Head And Neck Surgery ◽  
Venous Infarction ◽  
Intracranial Complications ◽  
The Brain

AbstractRadical neck dissection is one of the commonest procedures performed in any unit dealing with head and neck surgery. Intracranial complications following this procedure are uncommon. Transverse sinus thrombosis and venous infarction of the brain following unilateral radical neck dissection have not been reported in the literature. We present a case in which this complication occurred following an uneventful radical neck dissection.

scholarly journals Guidelines for safe and optimum neck dissection: a review article

2021 ◽  
Author(s):  
Sheetal A. Murchite ◽  
Thakut Gowtham ◽  
Abhinandan Milind Kadiyal ◽  
Vaishali Vinayak Gaikwad ◽  
Ashutosh Tiwari
Keyword(s):  
Lymph Nodes ◽  
Head And Neck ◽  
Neck Dissection ◽  
Early Stage ◽  
Neck Surgery ◽  
Head And Neck Surgery ◽  
Regional Lymph Nodes ◽  
Cervical Lymph Nodes ◽  
Early Stage Disease ◽  
Regional Metastases

Head and neck cancer is the sixth most common cancer worldwide. The single most important factor affecting prognosis for squamous cell carcinoma is the status of the cervical lymph nodes. Metastasis to the regional lymph nodes reduces the 5-year survival rate by 50% compared with that of patients with early-stage disease. The American cancer society reports that 40% of patients with squamous carcinoma of the oral cavity and pharynx present with regional metastases to the cervical lymph nodes. This activity presents the steps for safe and optimum neck dissection. Objectives of the study were to identify the anatomical structures in neck dissection, review the complications of head and neck surgery and summarize the importance of care coordination and to improve outcomes for patients undergoing head and neck surgery.

Standardizing Neck Dissection Terminology: Official Report of the Academy's Committee for Head and Neck Surgery and Oncology

1991 ◽  
Vol 117 (6) ◽  
pp. 601-605 ◽  
Author(s):  
K. T. Robbins ◽  
J. E. Medina ◽  
G. T. Wolfe ◽  
P. A. Levine ◽  
R. B. Sessions ◽  
...  
Keyword(s):  
Head And Neck ◽  
Neck Dissection ◽  
Neck Surgery ◽  
Head And Neck Surgery ◽  
Official Report

Enhanced recovery programmes in head and neck surgery: systematic review

2015 ◽  
Vol 129 (5) ◽  
pp. 416-420 ◽  
Author(s):  
M Bannister ◽  
K W Ah-See
Keyword(s):  
Systematic Review ◽  
Head And Neck ◽  
Neck Dissection ◽  
Enhanced Recovery ◽  
Neck Surgery ◽  
Head And Neck Surgery ◽  
Microvascular Reconstruction ◽  
Considerable Evidence ◽  
Operative Care ◽  
Ablative Surgery

AbstractObjective:To review the literature on enhanced recovery programmes in head and neck surgery.Method:A systematic review was performed in May 2013.Results:Thirteen articles discussing enhanced recovery after laryngectomy, neck dissection, major ablative surgery and microvascular reconstruction were identified. Articles on general pre-operative preparation and post-operative care were also reviewed.Conclusion:Considerable evidence is available supporting enhanced recovery in head and neck surgery that could be of benefit to patients and which surgeons should be aware of.

Cephazolin and metronidazole prophylaxis in head and neck surgery

1997 ◽  
Vol 111 (7) ◽  
pp. 631-634 ◽  
Author(s):  
Melvin Strauss ◽  
Phillip W. Saccogna ◽  
Allan L. Allphin
Keyword(s):  
Head And Neck ◽  
Radical Neck Dissection ◽  
Wound Complication ◽  
Neck Surgery ◽  
Head And Neck Surgery ◽  
Wound Complications ◽  
Flap Reconstruction ◽  
Common Complication ◽  
Factors Associated ◽  
Clean Contaminated

AbstractA seven-day course of cephazolin and metronidazole chemoprophylaxis for clean-contaminated head and neck oncological procedures is compared to results with previously published antibiotic regimens. Aetiological factors associated with increased rates of wound complications are analyzed. Retrospective analysis of procedures over asix-year period was performed. The overall wound complication rate was 28.1 per cent, comparing favourably with previously published results. A major fistula was the most common complication with a rate of 9.2 per cent. Factors statistically associated with increased rates of wound complications included: radical neck dissection, extended surgical procedures requiring flap reconstruction, previous tracheotomy, and race. This is the largest single institutional study to show thata seven-day course of cephazolin and metronidazole is an effective chemoprophylactic regimen in head and neck surgery.

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