ACUTE UPPER AIRWAY-OBSTRUCTION FOLLOWING STAGED BILATERAL RADICAL NECK DISSECTIONS IN PREVIOUSLY IRRADIATED PATIENTS

被引：13

作者：

BROWN, AMS ^{[1
]}

MILLAR, BG ^{[1
]}

机构：

[1] WORDSLEY HOSP,DEPT MAXILLOFACIAL SURG,STOURBRIDGE,W MIDLANDS,ENGLAND

来源：

BRITISH JOURNAL OF ORAL & MAXILLOFACIAL SURGERY | 1990年 / 28卷 / 04期

关键词：

D O I：

10.1016/0266-4356(90)90066-T

中图分类号：

R78 [口腔科学];

学科分类号：

1003 ;

摘要：

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 cases 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. © 1990.

引用

页码：272 / 274

页数：3