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November 1960

Intermittent Jugular Vein Compression: A Maneuver Designed to Insure Adequate Collateral Venous Drainage of the Head Prior to Bilateral Jugular Vein Ligation

Author Affiliations

Nashville, Tenn.
Markle scholar (Dr. Owens).; From Departments of Anatomy and Surgery, Vanderbilt University School of Medicine, Nashville, Tenn.

Arch Surg. 1960;81(5):715-717. doi:10.1001/archsurg.1960.01300050037007

Until 1952 jugular vein ligations during radical neck dissections were carried out in a staged maneuver. Martin, quoted by Perzik,5 at about this time had performed aproximately 34 cases of the two-stage internal jugular ligation without mortality. The literature dealing with this subject was not voluminous, and what was available indicated that danger even from staged procedures might be expected. In 1952 Perzik5 and Morfit3 in separate communications reported instances in which bilateral jugular vein ligations had been performed simultaneously without mortality. Previous reports of such radical measures had dealt with cases of suppurative mastoiditis and were in every instance associated with death. More recently Hayes Martin2 in 1957 asserted that complications following simultaneous bilateral jugular vein ligation were due chiefly to the interruption of the lymphatic channels from the head. Edema of the facial tissues as well as the pharynx usually occurred several days postoperatively