Abstract

To evaluate the functional and patency results of one internal jugular vein replacement after bilateral radical neck dissection among head and neck cancer patients. We reviewed data from 32 patients undergoing bilateral RND with resection of both internal jugular veins since 1994 to 2010. They also had a reconstruction of one internal jugular vein (IJVs). In every case a vascular reconstruction was performed with an autologous saphenous vein graft (ASVG). 27 patients needed radiation therapy. All patients received anticoagulant therapy. Functional results were evaluated in terms of postoperative head and neck and neurological complications. In some patients a Doppler scan was performed to assess vein patency. Patients did not report neurological complaints after the postoperative period. Facial edema was noted in three patients. Two patients were alive and could be followed up upto 8 years. Five patients were dead, without any evidence of recurrence. In patients with long-term survival a Doppler scan confirmed the patency of the vein graft. Very few postoperative complications were reported and absence of neurological complaints made a unilateral internal jugular vein replacement after bilateral RND attractive. It could be suggested to use this complete excision in head and neck cancer.

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