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  1. Home
  3. Simulating A Bloodless Surgical Field: A Study On Varying Relationship Of Internal Jugular Vein And Common Carotid Artery With Neck Rotation.
  1. Home
  3. Simulating A Bloodless Surgical Field: A Study On Varying Relationship Of Internal Jugular Vein And Common Carotid Artery With Neck Rotation.

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Simulating a Bloodless Surgical Field: A Study on Varying Relationship of Internal Jugular Vein and Common Carotid

Parnini Goswami1, Rajendra B Metgudmath1

  • 1Department of ENT, Head and Neck Surgery, J. N. Medical College, KLE Academy of Higher Education and Research, Belagavi, Karnataka India.

Indian Journal of Otolaryngology and Head and Neck Surgery : Official Publication of the Association of Otolaryngologists of India
|May 27, 2025

View abstract on PubMed

Summary
This summary is machine-generated.

Neck rotation significantly alters the relationship between the internal jugular vein (IJV) and common carotid artery (CCA). Increased overlap occurs with greater rotation, highlighting the importance of anatomical awareness in surgery.

Keywords:
CCAIJVOverlapSimulated rotation

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Area of Science:

  • Anatomy
  • Vascular Surgery
  • Medical Imaging

Background:

  • The anatomical relationship between the internal jugular vein (IJV) and common carotid artery (CCA) is crucial for surgical procedures in the neck.
  • Understanding how neck rotation affects this relationship is vital for preventing iatrogenic complications.

Purpose of the Study:

  • To evaluate the dynamic relationship between the IJV and CCA in supine position and during simulated contralateral neck rotation (15°, 30°, 45°).

Main Methods:

  • A prospective study involving 104 IJVs evaluated in a supine position.
  • Simulated contralateral neck rotations of 15°, 30°, and 45° were performed, assessing IJV and CCA spatial relationships.
  • Measurements of IJV position relative to CCA and their overlap were recorded.

Main Results:

  • The IJV's position shifted anteriorly relative to the CCA with increasing neck rotation.
  • Mean overlap between IJV and CCA increased from 27.7% at 0° to 37.81% at 45° rotation on the right and 26.7% to 35.58% on the left.
  • The IJV was predominantly anterolateral (42%) and lateral (39%) to the CCA in the supine position.

Conclusions:

  • Neck rotation significantly alters the spatial relationship and overlap of the IJV and CCA.
  • Awareness of the anterior shift of the IJV during neck rotation is critical for surgeons.
  • This anatomical knowledge can help minimize surgical errors and intraoperative complications in neck surgeries.