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Internal jugular vein thrombosis after functional and selective neck dissection

H A Quraishi1, M K Wax, K Granke

  • 1Department of Otolaryngology, West Virginia University, Morgantown, USA.

Archives of Otolaryngology--Head & Neck Surgery
|September 26, 1997
PubMed
Summary

Internal jugular vein thrombosis is common after neck dissection but often resolves. Most thrombosed veins recanalize, showing excellent long-term patency.

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Area of Science:

  • Otolaryngology
  • Vascular Surgery
  • Oncology

Background:

  • Neck dissection is a common surgical procedure for head and neck cancers.
  • Internal jugular vein (IJV) thrombosis is a potential complication following neck dissection.
  • Monitoring IJV patency is crucial for patient outcomes.

Purpose of the Study:

  • To determine the incidence of internal jugular vein thrombosis (IJVT) after functional or selective neck dissection.
  • To assess the long-term patency of IJVs following neck dissection.

Main Methods:

  • Prospective study involving 65 patients undergoing 100 functional neck dissections.
  • Serial duplex Doppler ultrasonography of IJVs on postoperative days 1 and 7.
  • Long-term follow-up at a minimum of 3 months.

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Main Results:

  • The incidence of IJVT was 24.7% on postoperative day 1 and 26.4% on day 7.
  • Long-term follow-up revealed a significantly lower incidence of IJVT (5.8%).
  • No significant correlation was found between IJVT and surgical or patient factors. Most initially thrombosed veins showed recanalization.

Conclusions:

  • Internal jugular vein thrombosis is relatively common immediately after neck dissection.
  • A significant proportion of IJVs demonstrate recanalization and maintain excellent long-term patency.
  • Early IJVT does not necessarily predict persistent vascular compromise.