机构：[1]Department of Otolaryngology-Head & Neck Surgery, Beijing Tongren Hospital, Capital Medical University, Beijing, China临床科室耳鼻咽喉-头颈外科首都医科大学附属北京同仁医院首都医科大学附属同仁医院[2]Department of Otolaryngology-Head & Neck Surgery, The James Cancer Hospital at the Wexner Medical Center of The Ohio State University, Columbus, OH, USA[3]Department of Otolaryngology-Head & Neck Surgery, Johns Hopkins School of Medicine, Baltimore, MD, USA
Objective: Tumors arising from the upper parapharyngeal space (UPPS) may have intimate relationships with the internal carotid artery (ICA) and the internal jugular vein (IJV). The significance of the ICA in UPPS has been sufficiently articulated, whereas the relevance of the IJV has not been addressed. This study aimed to assess the anatomical variations of the IJV within the UPPS, and to explore its implications for surgical procedures. Methods: An endoscopic dissection of the IJV was performed on 10 cadaveric specimens. In addition, 30 patients who underwent transoral or transcervical resection of UPPS tumors were retrospectively reviewed to characterize the IJV and its relation to the tumor. Results: On the cadaveric specimens, the IJV was located at the posteromedial and posterolateral aspects of the styloid process in 13 (65%) and 7 (35%) sides, respectively. In our clinical series, the IJV was not encountered in 18 patients with pre-styloid tumors. In 12 patients harboring retro-styloid tumors, the IJV was partially (n = 5) or completely (n = 7) compressed and was displaced into the posterolateral aspect of the tumor. The IJV was injured intraoperatively in 1 patient, requiring an immediate conversion to an open transcervical corridor that allowed its exposure and ligation without difficulty. Conclusion: This study characterizes the IJV and its relationship with adjacent neurovascular structures in the UPPS, which may provide further safeguards during transoral and transcervical procedures in the UPPS.
第一作者机构：[1]Department of Otolaryngology-Head & Neck Surgery, Beijing Tongren Hospital, Capital Medical University, Beijing, China[2]Department of Otolaryngology-Head & Neck Surgery, The James Cancer Hospital at the Wexner Medical Center of The Ohio State University, Columbus, OH, USA
共同第一作者：
通讯作者：
通讯机构：[1]Department of Otolaryngology-Head & Neck Surgery, Beijing Tongren Hospital, Capital Medical University, Beijing, China[2]Department of Otolaryngology-Head & Neck Surgery, The James Cancer Hospital at the Wexner Medical Center of The Ohio State University, Columbus, OH, USA[*1]Department of Otolaryngology-Head & Neck Surgery, Lynne Shepard Jones Chair in Head & Neck Oncology, Associate Dean for Faculty Advancement, Mentoring and Engagement (FAME), The Ohio State University College of Medicine, Co-Director of the Comprehensive Skull Base Surgery Program, Co-Chair Destination Medicine & Global Health Care, The James Cancer Center at The Ohio State University Wexner Medical Center, Starling Loving Hall – Room B221, 614.685.6778, 320 West 10th Avenue, Columbus, OH 43210, USA.[*2]Department of Thyroid-Head and Neck Surgery, Beijing TongRen Hospital, Capital Medical University, 1 DongJiaoMinXiang Street, DongCheng District, Beijing 100730, China.
推荐引用方式(GB/T 7714)：
Li Lifeng,Li Pingdong,London Nyall R,et al.Relevance of the Internal Jugular Vein for Surgery in the Upper Parapharyngeal Space[J].ENT-EAR NOSE & THROAT JOURNAL.2023,doi:10.1177/01455613231197730.
APA：
Li Lifeng,Li Pingdong,London Nyall R,Xu Hongbo,Chen Xiaohong&Carrau Ricardo L.(2023).Relevance of the Internal Jugular Vein for Surgery in the Upper Parapharyngeal Space.ENT-EAR NOSE & THROAT JOURNAL,,
MLA：
Li Lifeng,et al."Relevance of the Internal Jugular Vein for Surgery in the Upper Parapharyngeal Space".ENT-EAR NOSE & THROAT JOURNAL .(2023)
