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01121 Journal of Nara Medical Association >
Vol.48 No.1 >
このアイテムの引用には次の識別子を使用してください:
http://hdl.handle.net/10564/353
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タイトル: | 両側全頸部郭清術に際して内頸静脈再建を行った1例 |
その他のタイトル: | RECONSTRUCTION OF THE INTERNAL JUGULAR VEIN AFTER BILATERAL TOTAL NECK DISSECTION ; REPORT OF A CASE |
著者: | 上林, 豊彦 中野, 公 桐田, 忠昭![](/dspace/image/metalink/link_ja.gif) 中谷, 善幸 堀内, 克啓 杉村, 正仁 |
キーワード: | total neck dissection internal jugular vein intracranial pressure |
発行日: | 1997年2月28日 |
出版者: | 奈良医学会 |
引用: | 奈良医学雑誌 Vol.48 No.1 p.57-60 |
抄録: | Neck dissection contributes not only to controlling the tumors but also to
the probability of survival in the treatment of head and neck malignancies. Total neck
dissection, which includes ligation and resection of the internal jugular vein, influences
cerebral circulatory dynamics. Especially in the case of bilateral total neck dissection,
maintenance of cerebral blood-flow is the most important consideration.
The patient was a 54-year-old man with gingival carcinoma of the upper jaw. Following
preoperative chemotherapy and radiotherapy, partial maxillectomy of the upper jaw and
right total neck dissection were performed. Though the primary lesion and ipsolateral neck
were controlled by the initial treatment, cervical metastasis surrounding the internal
jugular vein of the contralateral side was recognized 2 years after surgery.
Angiographs revealed collateral pathway of the right cervical region. However, the
amount of blood flow was not sufficient. Left total neck dissection and reconstruction of the
internal jugular vein with a femoral vein graft were performed, cohsidering an elevation of
intracranial pressure. The grafted vein has remained patent, and there has been no evidence
of cerebral complications. The patient has been followed up without recurrence or metas-
tasis for 4 years. |
URI: | http://hdl.handle.net/10564/353 |
ISSN: | 04695550 13450069 |
出現コレクション: | Vol.48 No.1
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