Patency assessment of the internal jugular vein after neck dissection

T. Nagata, K. Matsunaga, Toshiyuki Kawazu, Shintarou Kawano, Kazunari Oobu, M. Ohishi

Research output: Contribution to journalArticle

6 Citations (Scopus)

Abstract

Twenty-seven patients with oral malignant tumours, who underwent neck dissection with preservation of the internal jugular vein (IJV), were studied retrospectively to evaluate patency of the IJV. Twenty-three patients underwent ablative surgery of the primary lesion with neck dissection and 4 underwent neck dissection alone. Three patients received simple closure and skin grafting of the primary lesion, and 20 received reconstruction surgery (4 platysma flaps, 3 radial forearm flaps, 3 lateral upper arm flaps, 2 pectoralis major myocutaneous flaps and 8 rectus abdominis myocutaneous flaps). The maximum and minimum diameters of the IJV as measured on computed tomographic (CT) scans were used to assess patency. The cross-sectional area of the IJV and the ratio of its long axis to short axis (L/S ratio) were calculated. The relation between the change in IJV status and the type of flap used for reconstruction was also examined. Occlusion of the IJV was present in 3.7% of the patients, and 'narrowing' was present in 63.6%. The size of the flap significantly correlated with 'narrowing' of the IJV, suggesting that 'narrowing' was caused mainly by compression due to the flap.

Original languageEnglish
Pages (from-to)416-420
Number of pages5
JournalInternational Journal of Oral and Maxillofacial Surgery
Volume35
Issue number5
DOIs
Publication statusPublished - May 1 2006

Fingerprint

Neck Dissection
Jugular Veins
Myocutaneous Flap
Rectus Abdominis
Skin Transplantation
Forearm
Arm
Neoplasms

All Science Journal Classification (ASJC) codes

  • Surgery
  • Oral Surgery
  • Otorhinolaryngology

Cite this

Patency assessment of the internal jugular vein after neck dissection. / Nagata, T.; Matsunaga, K.; Kawazu, Toshiyuki; Kawano, Shintarou; Oobu, Kazunari; Ohishi, M.

In: International Journal of Oral and Maxillofacial Surgery, Vol. 35, No. 5, 01.05.2006, p. 416-420.

Research output: Contribution to journalArticle

@article{03cde43398de48bca3a2450b75abd5f0,
title = "Patency assessment of the internal jugular vein after neck dissection",
abstract = "Twenty-seven patients with oral malignant tumours, who underwent neck dissection with preservation of the internal jugular vein (IJV), were studied retrospectively to evaluate patency of the IJV. Twenty-three patients underwent ablative surgery of the primary lesion with neck dissection and 4 underwent neck dissection alone. Three patients received simple closure and skin grafting of the primary lesion, and 20 received reconstruction surgery (4 platysma flaps, 3 radial forearm flaps, 3 lateral upper arm flaps, 2 pectoralis major myocutaneous flaps and 8 rectus abdominis myocutaneous flaps). The maximum and minimum diameters of the IJV as measured on computed tomographic (CT) scans were used to assess patency. The cross-sectional area of the IJV and the ratio of its long axis to short axis (L/S ratio) were calculated. The relation between the change in IJV status and the type of flap used for reconstruction was also examined. Occlusion of the IJV was present in 3.7{\%} of the patients, and 'narrowing' was present in 63.6{\%}. The size of the flap significantly correlated with 'narrowing' of the IJV, suggesting that 'narrowing' was caused mainly by compression due to the flap.",
author = "T. Nagata and K. Matsunaga and Toshiyuki Kawazu and Shintarou Kawano and Kazunari Oobu and M. Ohishi",
year = "2006",
month = "5",
day = "1",
doi = "10.1016/j.ijom.2005.09.004",
language = "English",
volume = "35",
pages = "416--420",
journal = "International Journal of Oral and Maxillofacial Surgery",
issn = "0901-5027",
publisher = "Churchill Livingstone",
number = "5",

}

TY - JOUR

T1 - Patency assessment of the internal jugular vein after neck dissection

AU - Nagata, T.

AU - Matsunaga, K.

AU - Kawazu, Toshiyuki

AU - Kawano, Shintarou

AU - Oobu, Kazunari

AU - Ohishi, M.

PY - 2006/5/1

Y1 - 2006/5/1

N2 - Twenty-seven patients with oral malignant tumours, who underwent neck dissection with preservation of the internal jugular vein (IJV), were studied retrospectively to evaluate patency of the IJV. Twenty-three patients underwent ablative surgery of the primary lesion with neck dissection and 4 underwent neck dissection alone. Three patients received simple closure and skin grafting of the primary lesion, and 20 received reconstruction surgery (4 platysma flaps, 3 radial forearm flaps, 3 lateral upper arm flaps, 2 pectoralis major myocutaneous flaps and 8 rectus abdominis myocutaneous flaps). The maximum and minimum diameters of the IJV as measured on computed tomographic (CT) scans were used to assess patency. The cross-sectional area of the IJV and the ratio of its long axis to short axis (L/S ratio) were calculated. The relation between the change in IJV status and the type of flap used for reconstruction was also examined. Occlusion of the IJV was present in 3.7% of the patients, and 'narrowing' was present in 63.6%. The size of the flap significantly correlated with 'narrowing' of the IJV, suggesting that 'narrowing' was caused mainly by compression due to the flap.

AB - Twenty-seven patients with oral malignant tumours, who underwent neck dissection with preservation of the internal jugular vein (IJV), were studied retrospectively to evaluate patency of the IJV. Twenty-three patients underwent ablative surgery of the primary lesion with neck dissection and 4 underwent neck dissection alone. Three patients received simple closure and skin grafting of the primary lesion, and 20 received reconstruction surgery (4 platysma flaps, 3 radial forearm flaps, 3 lateral upper arm flaps, 2 pectoralis major myocutaneous flaps and 8 rectus abdominis myocutaneous flaps). The maximum and minimum diameters of the IJV as measured on computed tomographic (CT) scans were used to assess patency. The cross-sectional area of the IJV and the ratio of its long axis to short axis (L/S ratio) were calculated. The relation between the change in IJV status and the type of flap used for reconstruction was also examined. Occlusion of the IJV was present in 3.7% of the patients, and 'narrowing' was present in 63.6%. The size of the flap significantly correlated with 'narrowing' of the IJV, suggesting that 'narrowing' was caused mainly by compression due to the flap.

UR - http://www.scopus.com/inward/record.url?scp=33747104608&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=33747104608&partnerID=8YFLogxK

U2 - 10.1016/j.ijom.2005.09.004

DO - 10.1016/j.ijom.2005.09.004

M3 - Article

C2 - 16376052

AN - SCOPUS:33747104608

VL - 35

SP - 416

EP - 420

JO - International Journal of Oral and Maxillofacial Surgery

JF - International Journal of Oral and Maxillofacial Surgery

SN - 0901-5027

IS - 5

ER -