title: Internal to external jugular vein bypass allowing for simultaneous bilateral radical neck dissection.
abstract: OBJECTIVE
  The goal of the study was to determine the role of internal jugular vein (IJV) to external jugular vein (EJV) bypass grafting in the setting of bilateral radical neck dissection with IJV sacrifice.
  
  
  METHODS
  The study group consisted of eight patients who underwent bilateral radical neck dissection with IJV sacrifice. Demographic and oncologic parameters were defined for each patient, including age, gender, and pathology. Patients were monitored and evaluated for potential effects of increased intracranial pressure (ICP). Doppler ultrasonic evaluation was performed to assess patency of the site of anastamoses.
  
  
  RESULTS
  In all, six patients underwent unilateral bypass grafting, whereas two patients underwent bilateral bypass grafts. Average age at time of surgery was 68.2 (range 56-71). Postoperatively, no sequelae of increased ICP were noted. Follow-up ultrasonic evaluation revealed patent vessels in all patients.
  
  
  CONCLUSIONS
  We presently report on the use of EJV-to-IJV bypass grafting for all patients undergoing bilateral radical neck dissection for extensive neck disease.
  
  
  METHODS
  4.
authors.affiliation: New York Eye and Ear Infirmary of Mount Sinai, Department of Otolaryngology Head and Neck Surgery, New York, New York.
authors.forename: Moustafa
authors.initials: M
authors.lastname: Mourad
authors.affiliation: Otolaryngology and Facial Plastic Surgery Associates, Fort Worth, Texas, U.S.A.
authors.forename: Masoud
authors.initials: M
authors.lastname: Saman
authors.affiliation: Otolaryngology and Facial Plastic Surgery Associates, Fort Worth, Texas, U.S.A.
authors.forename: Yadranko
authors.initials: Y
authors.lastname: Ducic
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D000714:Anastomosis, Surgical; D015150:Echocardiography, Doppler; D005260:Female; D006258:Head and Neck Neoplasms / Q000601:surgery; D006801:Humans; D007601:Jugular Veins / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D037981:Neck Dissection / Q000379:methods*
keywords: Neck dissection; head and neck cancer; jugular vein; neck disease; radical neck dissection