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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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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