Internal jugular vein rupture after oncologic resections in the head and neck

The Egyptian Journal of Otolaryngology

Table 1 Associated risks and perioperative events

	P1	P2	P3	P4	P5	P6	P7	P8	P9	P10
Age	56	63	57	62	67	57	59	63	57	62
Primary	LC T4aN0M0 (subglottic)	LC T2N0M0	rPTC T4aN1bM0	rLC T4aN1M1	LC T4aN0M0	LC T4aN0M0	rLC T3N0M0	LC T4aN0M0	LC T3N0M0	LC T4aN0M0
Medical co-morbidity	DM IHD COPD	DM CRLD	FREE	PM	FREE	FREE	FREE	DM	DM	Free
Primary radiotherapy	NO	NO	YES + RAI	CRTH	NO	NO	YES	NO	NO	No
Surgical procedure	TL TT CND Upper 5 tracheal rings resection	TL TT BSND	TL TT BMRND	TL TT BSND	TL RtHT BSND	TL BSND	TL BSND	TL BSND	TL BSND	TL RtHT BSND
Postoperative wound infection	Yes	Yes	No	No	No	No	No	Yes	Yes	Yes
Postoperative wound dehiscence (flap necrosis)	Yes	Yes	Yes	Yes	No	No	No	Yes	Yes	Yes
Postoperative PCF	No	Yes D10	No	Yes D9	Yes D9	Yes After IJV ligation	Yes After ijv ligation	Yes D20 After the 1st neck exploration	Yes D10	Yes D 9
Flap coverage	No	PMMCF 2 weeks after rupture	PMMCF	No	No	No	Scf	No	No	No
Sentinel bleeding	Yes	Yes	Yes	Yes	Yes	Yes	Yes	Yes	Yes	Yes
Time of rupture	D16	D13	D14	D30	D13	D12	D16	D30	D12	D12
Survival	Death Cardiogenic shock	Survived	Death	Survived then carotid blowout 1 day after IJV ligation	Death	Survived then CCA blowout after 3 years then death	Survived	Death	Survived	Survived

Abbreviations: LC laryngeal carcinoma, rPTC recurrent papillary thyroid carcinoma, rLC recurrent laryngeal carcinoma, DM diabetes mellitus, IHD ischemic heart disease, COPD chronic obstructive pulmonary disease, CRLD chronic restrictive lund disease, PM pulmonary metastasis, RAI radioactive iodine, CRTH chemoradiotherapy, TL total laryngectomy, TT total thyroidectomy, CND central neck dissection, BSND bilateral selective neck dissection, BMRND bilateral modified radical neck dissection, RtHT right hemithyroidectomy, IJV internal jugular vein, PMMCF pectoralis major myocutaneous flap, SCF supraclavicular flap, CCA common carotid artery