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Related Experiment Videos

Postoperative hypertension after radical neck dissection

S Celikkanat1, M U Akyol, C Koç

  • 1Ear Nose and Throat Department, Ankara Numune Hospital, Turkey.

Otolaryngology--Head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery
|July 1, 1997
PubMed
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Postoperative hypertension occurred in 20.2% of patients after radical neck dissection, likely due to carotid sinus denervation. Prior hypertension increased the risk for contralateral surgery.

Area of Science:

  • Otolaryngology
  • Neurosurgery
  • Anesthesiology

Background:

  • Radical neck dissection (RND) is a major surgical procedure.
  • Postoperative hypertension is a potential complication following RND.
  • Carotid sinus denervation is a suspected cause of this hypertension.

Purpose of the Study:

  • To determine the incidence of postoperative hypertension after RND.
  • To investigate potential causes and risk factors for this complication.

Main Methods:

  • Retrospective review of 109 patients undergoing RND between 1989 and 1993.
  • Analysis of postoperative blood pressure readings.
  • Correlation of hypertension with surgical factors and patient history.

Main Results:

Related Experiment Videos

  • Postoperative hypertension was observed in 20.2% of patients.
  • Hypertension onset coincided with the dissipation of anesthetic vasodilation.
  • Patients with prior hypertension had a significantly increased risk of contralateral RND-associated hypertension.

Conclusions:

  • Postoperative hypertension is a notable complication of RND, possibly linked to carotid sinus denervation.
  • Pre-existing hypertension is a risk factor for developing hypertension after RND, especially on the contralateral side.