Department of Surgery, Faculty of Medical School, College of Medicine, Kaohsiung Medical University Hospital, Kaohsiung Medical University, Kaohsiung, 80708 Taiwan.
Head Neck. 2010 Jun;32(6):806-11. doi: 10.1002/hed.21144.
Surgical intervention for internal jugular phlebectasia is occasionally necessary in cases of phlebitis, thrombus formation, rupture of the lesion, and some cosmetic deformity. However, the resultant neck scar can be of suboptimal cosmesis, with consequent psychological distress, particularly for children.
We described a 3-port transaxillary endoscopic technique performed under the fascia of the pectoralis major for excision of the dilated right internal jugular vein in an 8-year-old girl.
The preservation of the upper tributaries of the right internal jugular vein was helpful in draining the cerebral blood to the collaterals and in preventing postoperative craniofacial swelling immediately. Six months later, there were no signs of recurrence of other jugular veins, and the patient showed a correct hemodynamic compensation.
This technique offered an effective way to surgically manage internal jugular phlebectasia while avoiding the potential for poor cosmesis from any neck scar.
在发生静脉炎、血栓形成、病变破裂和某些美容畸形时，偶尔需要对颈内静脉扩张进行手术干预。然而，由此产生的颈部疤痕可能会影响美观，导致心理困扰，特别是对于儿童。
我们描述了一种经腋内镜下 3 孔技术，在胸大肌筋膜下进行，用于切除 8 岁女孩右侧颈内静脉扩张。
保留右侧颈内静脉的上属支有助于将脑血流引流至侧支，并立即防止术后头面部肿胀。6 个月后，未见其他颈静脉复发迹象，患者表现出正确的血流动力学代偿。
该技术为颈内静脉扩张的手术治疗提供了一种有效的方法，同时避免了颈部疤痕潜在的美观问题。
