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Published on: January 27, 2015
Rare Neck Venous Anatomy Anomalies - A Case Report
Anchal Agarwal1, Nitin Bhola1, Anu Jose1
1Department of Oral and Maxillofacial Surgery, Sharad Pawar Dental College and Hospital, Wardha, Maharashtra, India.
Rationale:
Knowledge of the venous systems of the neck is important in microvascular anastomosis as well as to avoid unintended bleeding during neck dissection.
Patient Concerns:
We present three rare variations of the jugular system of the neck which could have complicated neck dissection.
Diagnosis:
The first case is of a posterior tributary from an internal jugular vein (IJV). The second case is an IJV with increased diameter of 3 cm and the third case is an aneurysm of the external jugular vein.
Treatment:
Careful dissection was carried out to avoid complications and to preserve the vessels for microvascular anastomosis.
Outcome:
No complications were encountered intraoperatively and post-operatively.
Take-Away Lessons:
Variations from normal anatomy should be dealt with caution to avoid complications and to perform surgery precisely and efficiently.
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