Blindness after laryngectomy and bilateral neck dissection in a diabetic patient: case report
São Paulo med. j
;
119(5): 181-183, Sept. 2001.
Article
in English
| LILACS
| ID: lil-299288
ABSTRACT
CONTEXT Neck dissection that accompanies resection of the primary lesion in malignant tumors of the upper aerodigestive tracts may cause complications inherent to the procedure or to prolongation of surgical time, increasing the risks for the patient. Among the complications that might occur is blindness, a rare complication with only 10 cases reported in the literature thus far. OBJECTIVE:
To present the case of a diabetic patient submitted to total laryngectomy and modified and selective neck dissection that resulted in blindness. CASE REPORT The authors report on a patient submitted to total laryngectomy and selective neck dissection on the left side, and modified radical neck dissection on the right, who developed blindness. This was probably due to intraoperative hypotension plus the contribution of decompensated diabetes mellitus and thrombosis of the internal jugular vein on the right side. The possible causes, risk factors and care to be taken to prevent this rare but highly debilitating complication are discussed
Full text:
Available
Index:
LILACS (Americas)
Main subject:
Neck Dissection
/
Laryngeal Neoplasms
/
Blindness
/
Diabetes Mellitus
/
Laryngectomy
Type of study:
Risk factors
Limits:
Humans
/
Male
Language:
English
Journal:
São Paulo med. j
Journal subject:
Cirurgia Geral
/
Cincia
/
Ginecologia
/
Medicine
/
Medicina Interna
/
Obstetr¡cia
/
Pediatria
/
Sa£de Mental
/
Sa£de P£blica
Year:
2001
Type:
Article
Affiliation country:
Brazil
Institution/Affiliation country:
Universidade Estadual de Säo Paulo/BR
/
Universidade de Säo Paulo/BR
Similar
MEDLINE
...
LILACS
LIS