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C. B. Fisher, MD, and colleagues from Johns Hopkins University, Baltimore, at the Southern Triological Society meeting in Birmingham, Ala, described 13 patients who underwent a jugular vein-sparing neck dissection. The patency of the retained jugular vein was assessed by comparing contrast-enhanced preoperative and two- to four-week postoperative computed tomographic scans.
Of the 13 patients, 12 had studies sufficient to make a statement on the patency of the retained jugular vein. Nine jugular veins were patent and unchanged in diameter (75%); one vein was patent but severely narrowed (8%); and two veins were occluded or thrombosed (16%). Techniques to aid in the preservation of patency were discussed. Among them were avoiding direct handling of the vessel wall, avoiding coagulation near the vessel, maintaining the vessel wall in a moist condition during the neck dissection, and carefully ligating branches of the jugular vein to avoid blind pouches in which thrombi might
MCGUIRT WF. Patency of the Internal Jugular Vein After Modified Neck Dissection. Arch Otolaryngol Head Neck Surg. 1988;114(7):713. doi:10.1001/archotol.1988.01860190017008
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