Affiliation:
1. Department of Surgery, Armed Forces Medical College, Pune, Maharashtra, India
2. Department of Oncosurgery, Yashoda Super Specialty Hospital, Ghaziabad, Uttar Pradesh, India
Abstract
ABSTRACT
Background:
Neck dissections in carcinoma oral cavity are associated with various postoperative comorbidities. Internal jugular vein (IJV) occlusion and stenosis is a rare serious complication, which leads to serious clinical sequalae. Existing medical literature reports an incidence of this complication varying from 0% to 30%. Lacunae exist regarding any correlation between clinicopathological parameters and treatment options, of such patients, with the incidence of this complication, which might aid in adapting a preventive approach accordingly.
Aims and Objectives: a. Primary objective:
To study the patency of IJV postoperatively with preoperative status b. Secondary objective: Correlation of postoperative IJV patency with clinicopathological parameters (age, subsite, and pathological nodal status) and treatment options offered (neck dissection, radiotherapy, and reconstruction).
Subject and Methods:
Patency of IJV was analyzed preoperatively and postoperatively and correlated with various parameters, after neck dissection in 50 carcinoma oral cavity patients.
Settings and Design:
Prospective observational study at a tertiary care hospital done over 2 years.
Statistical Analysis Used:
Data were recorded in Excel data sheet and statistically analyzed by using the SPSS Ver 22.0.
Results:
IJV occlusion was demonstrated in 2 (4%) patients and IJV stenosis in 7 (14%) patients. Postradiotherapy patients had higher incidence of occlusion compared to patients who did not undergo radiotherapy (11.7% vs. 0%; P < 0.05). The incidence of stenosis and occlusion was significantly higher in left side neck dissection (20.6%; P < 0.05).
Conclusion:
Radiotherapy and left sided neck dissection are statistically significant risk factors for postoperative IJV occlusion in carcinoma oral cavity patients.