Blindness after laryngectomy and bilateral neck dissection in a diabetic patient: case report
São Paulo med. j
;
119(5): 181-183, Sept. 2001.
Article
Dans Anglais
| 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
Texte intégral:
Disponible
Indice:
LILAS (Amériques)
Sujet Principal:
Évidement ganglionnaire cervical
/
Tumeurs du larynx
/
Cécité
/
Diabète
/
Laryngectomie
Type d'étude:
Facteurs de risque
Limites du sujet:
Humains
/
Mâle
langue:
Anglais
Texte intégral:
São Paulo med. j
Thème du journal:
Cirurgia Geral
/
Cincia
/
Ginecologia
/
Médicament
/
Medicina Interna
/
Obstetr¡cia
/
Pediatria
/
Sa£de Mental
/
Sa£de P£blica
Année:
2001
Type:
Article
Pays d'affiliation:
Brésil
Institution/Pays d'affiliation:
Universidade Estadual de Säo Paulo/BR
/
Universidade de Säo Paulo/BR
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