Internal jugular vein rupture after oncologic resections in the head and neck

Abstract Background Internal jugular vein (IJV) blowout after major oncologic resections in the head and neck is a rare fatal yet preventable complication. The condition is unregistered sufficiently in the literature. Results The records of patients who underwent oncologic neck surgery were retrospe...

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Main Authors: Ahmad M. Eltelety, Ahmed A. Nassar, Ahmed M. El Batawi, Sherif G. Ibrahim
Format: Article
Language:English
Published: SpringerOpen 2020-12-01
Series:The Egyptian Journal of Otolaryngology
Subjects:
Online Access:https://doi.org/10.1186/s43163-020-00042-0
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spelling doaj-5c83787f39e94339ab0998ccc50efda82021-04-02T20:20:40ZengSpringerOpenThe Egyptian Journal of Otolaryngology1012-55742090-85392020-12-013611610.1186/s43163-020-00042-0Internal jugular vein rupture after oncologic resections in the head and neckAhmad M. Eltelety0Ahmed A. Nassar1Ahmed M. El Batawi2Sherif G. Ibrahim3Otolaryngology Department, Faculty of Medicine, Cairo UniversityOtolaryngology Department, Faculty of Medicine, Cairo UniversityOtolaryngology Department, Faculty of Medicine, Cairo UniversityOtolaryngology Department, Faculty of Medicine, Cairo UniversityAbstract Background Internal jugular vein (IJV) blowout after major oncologic resections in the head and neck is a rare fatal yet preventable complication. The condition is unregistered sufficiently in the literature. Results The records of patients who underwent oncologic neck surgery were retrospectively reviewed. The study included records between January 2014 and November 2019 at Kasr Al Ainy Educational Hospital. 275 patients underwent cervical ablative procedures. Ten patients developed IJV blowout. Six patients were saved. Four patients had diabetes mellitus with postoperative wound infection and dehiscence. Three patients were given primary radiotherapy; two of them developed flap necrosis. Eight patients acquired pharyngocutaneous fistula (PCF). Regional flap coverage was done in three patients. Sentinel hemorrhage occurred in all patients. Conclusions IJV blowout is a rare potentially life-threatening complication usually preceded by sentinel hemorrhage. The condition is essentially preventable by the prompt and structured response.https://doi.org/10.1186/s43163-020-00042-0RuptureInternal jugular veinNeck dissectionSentinelBleeding
collection DOAJ
language English
format Article
sources DOAJ
author Ahmad M. Eltelety
Ahmed A. Nassar
Ahmed M. El Batawi
Sherif G. Ibrahim
spellingShingle Ahmad M. Eltelety
Ahmed A. Nassar
Ahmed M. El Batawi
Sherif G. Ibrahim
Internal jugular vein rupture after oncologic resections in the head and neck
The Egyptian Journal of Otolaryngology
Rupture
Internal jugular vein
Neck dissection
Sentinel
Bleeding
author_facet Ahmad M. Eltelety
Ahmed A. Nassar
Ahmed M. El Batawi
Sherif G. Ibrahim
author_sort Ahmad M. Eltelety
title Internal jugular vein rupture after oncologic resections in the head and neck
title_short Internal jugular vein rupture after oncologic resections in the head and neck
title_full Internal jugular vein rupture after oncologic resections in the head and neck
title_fullStr Internal jugular vein rupture after oncologic resections in the head and neck
title_full_unstemmed Internal jugular vein rupture after oncologic resections in the head and neck
title_sort internal jugular vein rupture after oncologic resections in the head and neck
publisher SpringerOpen
series The Egyptian Journal of Otolaryngology
issn 1012-5574
2090-8539
publishDate 2020-12-01
description Abstract Background Internal jugular vein (IJV) blowout after major oncologic resections in the head and neck is a rare fatal yet preventable complication. The condition is unregistered sufficiently in the literature. Results The records of patients who underwent oncologic neck surgery were retrospectively reviewed. The study included records between January 2014 and November 2019 at Kasr Al Ainy Educational Hospital. 275 patients underwent cervical ablative procedures. Ten patients developed IJV blowout. Six patients were saved. Four patients had diabetes mellitus with postoperative wound infection and dehiscence. Three patients were given primary radiotherapy; two of them developed flap necrosis. Eight patients acquired pharyngocutaneous fistula (PCF). Regional flap coverage was done in three patients. Sentinel hemorrhage occurred in all patients. Conclusions IJV blowout is a rare potentially life-threatening complication usually preceded by sentinel hemorrhage. The condition is essentially preventable by the prompt and structured response.
topic Rupture
Internal jugular vein
Neck dissection
Sentinel
Bleeding
url https://doi.org/10.1186/s43163-020-00042-0
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