Ruptured internal jugular vein: A postoperative complication of modified/selected neck dissection

Suzanne S. Cleland-Zamudio, Mark Wax, James Smith, James Cohen

Research output: Contribution to journalArticle

9 Citations (Scopus)

Abstract

Background. Postoperative hemorrhage from the internal jugular vein after a modified or selective neck dissection is an infrequent, yet potentially life-threatening, complication. Despite the increasing frequency of modified or selective neck dissections, this complication has not been previously highlighted in the literature. Setting. Tertiary referral academic center. Material and Methods. The records of six patients who experienced this complication were reviewed and analyzed for risk factors that might predict its occurrence. Results. Common risk factors included postoperative pharyngeal fistula formation, significant tobacco history, and poor nutritional status. A more complete circumferential dissection of the vein low in the neck in the presence of hypopharyngeal fistula may place it at a higher risk for rupture. Conclusions. Patients who have a complete circumferential dissection of the internal jugular vein low in the neck and go on to have fistulas develop may be more prone to internal jugular vein rupture.

Original languageEnglish (US)
Pages (from-to)357-360
Number of pages4
JournalHead and Neck
Volume25
Issue number5
DOIs
StatePublished - May 1 2003

Fingerprint

Neck Dissection
Jugular Veins
Fistula
Dissection
Rupture
Neck
Postoperative Hemorrhage
Nutritional Status
Tertiary Care Centers
Tobacco
Veins
History

Keywords

  • Fistula
  • Hemorrhage
  • Internal
  • Jugular
  • Rupture
  • Vein

ASJC Scopus subject areas

  • Otorhinolaryngology

Cite this

Ruptured internal jugular vein : A postoperative complication of modified/selected neck dissection. / Cleland-Zamudio, Suzanne S.; Wax, Mark; Smith, James; Cohen, James.

In: Head and Neck, Vol. 25, No. 5, 01.05.2003, p. 357-360.

Research output: Contribution to journalArticle

@article{059e3fba284a49fa9dc1ffa03d84a177,
title = "Ruptured internal jugular vein: A postoperative complication of modified/selected neck dissection",
abstract = "Background. Postoperative hemorrhage from the internal jugular vein after a modified or selective neck dissection is an infrequent, yet potentially life-threatening, complication. Despite the increasing frequency of modified or selective neck dissections, this complication has not been previously highlighted in the literature. Setting. Tertiary referral academic center. Material and Methods. The records of six patients who experienced this complication were reviewed and analyzed for risk factors that might predict its occurrence. Results. Common risk factors included postoperative pharyngeal fistula formation, significant tobacco history, and poor nutritional status. A more complete circumferential dissection of the vein low in the neck in the presence of hypopharyngeal fistula may place it at a higher risk for rupture. Conclusions. Patients who have a complete circumferential dissection of the internal jugular vein low in the neck and go on to have fistulas develop may be more prone to internal jugular vein rupture.",
keywords = "Fistula, Hemorrhage, Internal, Jugular, Rupture, Vein",
author = "Cleland-Zamudio, {Suzanne S.} and Mark Wax and James Smith and James Cohen",
year = "2003",
month = "5",
day = "1",
doi = "10.1002/hed.10219",
language = "English (US)",
volume = "25",
pages = "357--360",
journal = "Head and Neck",
issn = "1043-3074",
publisher = "Wiley-Liss Inc.",
number = "5",

}

TY - JOUR

T1 - Ruptured internal jugular vein

T2 - A postoperative complication of modified/selected neck dissection

AU - Cleland-Zamudio, Suzanne S.

AU - Wax, Mark

AU - Smith, James

AU - Cohen, James

PY - 2003/5/1

Y1 - 2003/5/1

N2 - Background. Postoperative hemorrhage from the internal jugular vein after a modified or selective neck dissection is an infrequent, yet potentially life-threatening, complication. Despite the increasing frequency of modified or selective neck dissections, this complication has not been previously highlighted in the literature. Setting. Tertiary referral academic center. Material and Methods. The records of six patients who experienced this complication were reviewed and analyzed for risk factors that might predict its occurrence. Results. Common risk factors included postoperative pharyngeal fistula formation, significant tobacco history, and poor nutritional status. A more complete circumferential dissection of the vein low in the neck in the presence of hypopharyngeal fistula may place it at a higher risk for rupture. Conclusions. Patients who have a complete circumferential dissection of the internal jugular vein low in the neck and go on to have fistulas develop may be more prone to internal jugular vein rupture.

AB - Background. Postoperative hemorrhage from the internal jugular vein after a modified or selective neck dissection is an infrequent, yet potentially life-threatening, complication. Despite the increasing frequency of modified or selective neck dissections, this complication has not been previously highlighted in the literature. Setting. Tertiary referral academic center. Material and Methods. The records of six patients who experienced this complication were reviewed and analyzed for risk factors that might predict its occurrence. Results. Common risk factors included postoperative pharyngeal fistula formation, significant tobacco history, and poor nutritional status. A more complete circumferential dissection of the vein low in the neck in the presence of hypopharyngeal fistula may place it at a higher risk for rupture. Conclusions. Patients who have a complete circumferential dissection of the internal jugular vein low in the neck and go on to have fistulas develop may be more prone to internal jugular vein rupture.

KW - Fistula

KW - Hemorrhage

KW - Internal

KW - Jugular

KW - Rupture

KW - Vein

UR - http://www.scopus.com/inward/record.url?scp=0037405949&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0037405949&partnerID=8YFLogxK

U2 - 10.1002/hed.10219

DO - 10.1002/hed.10219

M3 - Article

C2 - 12692871

AN - SCOPUS:0037405949

VL - 25

SP - 357

EP - 360

JO - Head and Neck

JF - Head and Neck

SN - 1043-3074

IS - 5

ER -