Acute upper airway obstruction following 'staged' bilateral radical neck dissections in previously irradiated patients

The British Journal of Oral & Maxillofacial Surgery
A M Brown, B G Millar

Abstract

Synchronous bilateral radical neck dissection is generally avoided because of the dramatic oedema that usually ensues. One recommended safer alternative is to perform 'staged' operations. Two case are presented in which acute supraglottic obstruction followed the second neck dissection in patients who had also received radiotherapy to the neck. It is believed that the obstruction was due to swelling following lymphatic destruction secondary to the irradiation, rather than by venous congestion. Some recommendations are made for the management of such cases to avoid this complication.

Citations

Jan 1, 1995·Anesthesia and Analgesia·K A MillerP L Bailey
Dec 22, 2005·Anesthesia and Analgesia·Christopher M BurkleJan L Kasperbauer
Jul 2, 2015·Journal of Oral and Maxillofacial Surgery : Official Journal of the American Association of Oral and Maxillofacial Surgeons·Masataka UeharaKazuhiro Tominaga
Sep 16, 2011·European Journal of Surgical Oncology : the Journal of the European Society of Surgical Oncology and the British Association of Surgical Oncology·J GhoshM Baguneid
Dec 1, 1994·Chest·K G ChettyC K Mahutte

❮ Previous
Next ❯

Related Concepts

Related Feeds

Carcinoma, Squamous Cell

Basal cell carcinoma is a form of malignant skin cancer found on the head and neck regions and has low rates of metastasis. Discover the latest research on basal cell carcinoma here.