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Anterior ischemic optic neuropathy following neck dissection.

Publication ,  Journal Article
Strome, SE; Hill, JS; Burnstine, MA; Beck, J; Chepeha, DB; Esclamado, RM
Published in: Head Neck
March 1997

BACKGROUND: Ischemic optic neuropathy (ION) is a rare but devastating complication of surgery. It has traditionally been associated with intraoperative hypotension in patients with underlying arteriosclerosis. METHODS: We present a case of ION following bilateral neck dissections in which there was minimal intraoperative hypotension and preservation of both internal jugular veins. The potential etiology of this disease is discussed along with a review of the literature. RESULTS: Five cases of ION following neck dissection have been documented. This complication is associated with the combination of intraoperative hypotension and anemia in the setting of prolonged bilateral neck dissection. Treatment is supportive, and final visual prognosis is variable. CONCLUSIONS: Ischemic optic neuropathy following neck dissection is best avoided by intraoperative blood pressure and anemia management. When it does occur, supportive therapy must be given. Final visual outcome is variable.

Duke Scholars

Published In

Head Neck

DOI

ISSN

1043-3074

Publication Date

March 1997

Volume

19

Issue

2

Start / End Page

148 / 152

Location

United States

Related Subject Headings

  • Visual Acuity
  • Remission, Spontaneous
  • Otorhinolaryngology
  • Optic Neuropathy, Ischemic
  • Neck Dissection
  • Middle Aged
  • Mandibular Neoplasms
  • Male
  • Laryngoscopy
  • Humans
 

Citation

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Chicago
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Strome, S. E., Hill, J. S., Burnstine, M. A., Beck, J., Chepeha, D. B., & Esclamado, R. M. (1997). Anterior ischemic optic neuropathy following neck dissection. Head Neck, 19(2), 148–152. https://doi.org/10.1002/(sici)1097-0347(199703)19:2<148::aid-hed11>3.0.co;2-9
Strome, S. E., J. S. Hill, M. A. Burnstine, J. Beck, D. B. Chepeha, and R. M. Esclamado. “Anterior ischemic optic neuropathy following neck dissection.Head Neck 19, no. 2 (March 1997): 148–52. https://doi.org/10.1002/(sici)1097-0347(199703)19:2<148::aid-hed11>3.0.co;2-9.
Strome SE, Hill JS, Burnstine MA, Beck J, Chepeha DB, Esclamado RM. Anterior ischemic optic neuropathy following neck dissection. Head Neck. 1997 Mar;19(2):148–52.
Strome, S. E., et al. “Anterior ischemic optic neuropathy following neck dissection.Head Neck, vol. 19, no. 2, Mar. 1997, pp. 148–52. Pubmed, doi:10.1002/(sici)1097-0347(199703)19:2<148::aid-hed11>3.0.co;2-9.
Strome SE, Hill JS, Burnstine MA, Beck J, Chepeha DB, Esclamado RM. Anterior ischemic optic neuropathy following neck dissection. Head Neck. 1997 Mar;19(2):148–152.
Journal cover image

Published In

Head Neck

DOI

ISSN

1043-3074

Publication Date

March 1997

Volume

19

Issue

2

Start / End Page

148 / 152

Location

United States

Related Subject Headings

  • Visual Acuity
  • Remission, Spontaneous
  • Otorhinolaryngology
  • Optic Neuropathy, Ischemic
  • Neck Dissection
  • Middle Aged
  • Mandibular Neoplasms
  • Male
  • Laryngoscopy
  • Humans