dc.contributor.author
Krasnikova, Alexandra
dc.contributor.author
Kreutzer, Kilian
dc.contributor.author
Angermair, Stefan
dc.contributor.author
Heiland, Max
dc.contributor.author
Koerdt, Steffen
dc.date.accessioned
2020-11-19T13:12:30Z
dc.date.available
2020-11-19T13:12:30Z
dc.identifier.uri
https://refubium.fu-berlin.de/handle/fub188/28854
dc.identifier.uri
http://dx.doi.org/10.17169/refubium-28603
dc.description.abstract
Introduction: Visual loss is a very rare but dramatic complication of such an indispensable standard procedure in head and neck tumor surgery such as the cervical lymphadenectomy (neck dissection).
Presentation of case: We present a review of the literature and a new case of a postoperative blindness of a 65-year-old man with type 2 diabetes who underwent a unilateral radical neck dissection, a contralateral modified radical neck dissection and a hemimandibulectomy for an oropharyngeal squamous cell carcinoma.
Discussion: By now there have been only 15 clinical cases of total blindness published during the last 60 years. In 13 cases blindness followed a bilateral radical neck dissection whereas in 2 cases blindness occurred after a combined selective and modified radical neck dissection. Ischemia of the optic nerve due to intraoperative hypotension, blood loss and venous congestion were the major etiological aspects of blindness. Perioperative management of differentiated volume and blood administration, blood pressure management and a close postoperative ophthalmological check seem to be of a major importance for prevention and early detection of visual deterioration. Nevertheless, there are no clear predicative factors for blindness after neck dissection and the prognosis is unfavorable.
Conclusion: Even though postoperative vision loss is a rare and devastating complication, this current case and the review of the literature show that it occurs every once in a while following standard operations to the head and neck. Patients undergoing high-risk procedures should have to be informed that there is a slight risk of perioperative vision loss and this should be highlighted in the standard declaration of consent.
en
dc.rights.uri
https://creativecommons.org/licenses/by-nc-nd/4.0/
dc.subject
Neck dissection
en
dc.subject
Oropharyngeal cancer
en
dc.subject.ddc
600 Technik, Medizin, angewandte Wissenschaften::610 Medizin und Gesundheit::610 Medizin und Gesundheit
dc.title
Blindness following bilateral neck dissection. A case report and review of the literature
dc.type
Wissenschaftlicher Artikel
dcterms.bibliographicCitation.doi
10.1016/j.ijscr.2020.10.138
dcterms.bibliographicCitation.journaltitle
International Journal of Surgery Case Reports
dcterms.bibliographicCitation.originalpublishername
Elsevier
dcterms.bibliographicCitation.pagestart
201
dcterms.bibliographicCitation.pageend
205
dcterms.bibliographicCitation.volume
77
refubium.affiliation
Charité - Universitätsmedizin Berlin
refubium.resourceType.isindependentpub
no
dcterms.accessRights.openaire
open access
dcterms.bibliographicCitation.pmid
33166820
dcterms.isPartOf.eissn
2210-2612