Anatomical Variations of the Internal Jugular Vein: Focus Through Three Clinical Observations

Kassim Diarra; N’faly Konaté; Youssouf Sidibé; Kalifa Coulibaly; Drissa Kaloga Bagayoko; Moussa Bourama Keita; Fatogoma Issa Koné; Boubacary Guindo; Siaka Soumaoro; Doumbia Kadidiatou Singare; Mohamed Amadou Keita

doi:doi:10.11648/j.ijo.20220802.13

Anatomical Variations of the Internal Jugular Vein: Focus Through Three Clinical Observations

Kassim Diarra, N’faly Konaté, Youssouf Sidibé, Kalifa Coulibaly, Drissa Kaloga Bagayoko, Moussa Bourama Keita, Fatogoma Issa Koné, Boubacary Guindo, Siaka Soumaoro, Doumbia Kadidiatou Singare, Mohamed Amadou Keita

Published in International Journal of Otorhinolaryngology (Volume 8, Issue 2)

Received: 6 July 2022 Accepted: 20 July 2022 Published: 29 July 2022

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Abstract

The authors report three cases of division anomalies (bifurcation and fenestrations) of the internal jugular vein (IJV) revealed intraoperatively during cervical lymph node dissection. Although these terms are commonly interchanged in the literature, they are used interchangeably often granting ambiguity among surgeons. The objective of this work was to report our experience through three clinical observations collected from 2017 to 2022 in order to be able to build the different terminologies and also discuss the clinical implications. Clinical cases: These are three patients aged 55, 59 and 62, male, who all underwent total laryngectomy plus bilateral functional lymph node dissection for squamous cell carcinoma classified as T4aN2bMO, T4aN1MO, T4aN2aMO. During the recesses of the right sides, the dissection carried out along the internal jugular vein found a small duplication in the shape of a "needle point" giving the appearance of a window (fenestration) through which the spinal nerve passed between the branches. In one case, the window was slightly wide in the second patient and in the third patient we found splitting of the vein with a bifurcation type. The postoperative course was simple. Conclusion: Divisions (duplication, bifurcation or fenestration) of IJV are rare and are mainly observed during cervical surgery, diagnostic imaging, and very rarely during cadaver dissection. Understanding its IJV variation abnormalities is important to avoid iatrogenic injury during cervical surgery or during central venous catheterization.

Published in	International Journal of Otorhinolaryngology (Volume 8, Issue 2)
DOI	10.11648/j.ijo.20220802.13
Page(s)	41-45
Creative Commons	This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.
Copyright	Copyright © The Author(s), 2022. Published by Science Publishing Group

Keywords

Anatomical Variations, Internal Jugular Vein, Cervical Surgery

References

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APA Style

Kassim Diarra, N’faly Konaté, Youssouf Sidibé, Kalifa Coulibaly, Drissa Kaloga Bagayoko, et al. (2022). Anatomical Variations of the Internal Jugular Vein: Focus Through Three Clinical Observations. International Journal of Otorhinolaryngology, 8(2), 41-45. https://doi.org/10.11648/j.ijo.20220802.13

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ACS Style

Kassim Diarra; N’faly Konaté; Youssouf Sidibé; Kalifa Coulibaly; Drissa Kaloga Bagayoko, et al. Anatomical Variations of the Internal Jugular Vein: Focus Through Three Clinical Observations. Int. J. Otorhinolaryngol. 2022, 8(2), 41-45. doi: 10.11648/j.ijo.20220802.13

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AMA Style

Kassim Diarra, N’faly Konaté, Youssouf Sidibé, Kalifa Coulibaly, Drissa Kaloga Bagayoko, et al. Anatomical Variations of the Internal Jugular Vein: Focus Through Three Clinical Observations. Int J Otorhinolaryngol. 2022;8(2):41-45. doi: 10.11648/j.ijo.20220802.13

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@article{10.11648/j.ijo.20220802.13,
  author = {Kassim Diarra and N’faly Konaté and Youssouf Sidibé and Kalifa Coulibaly and Drissa Kaloga Bagayoko and Moussa Bourama Keita and Fatogoma Issa Koné and Boubacary Guindo and Siaka Soumaoro and Doumbia Kadidiatou Singare and Mohamed Amadou Keita},
  title = {Anatomical Variations of the Internal Jugular Vein: Focus Through Three Clinical Observations},
  journal = {International Journal of Otorhinolaryngology},
  volume = {8},
  number = {2},
  pages = {41-45},
  doi = {10.11648/j.ijo.20220802.13},
  url = {https://doi.org/10.11648/j.ijo.20220802.13},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ijo.20220802.13},
  abstract = {The authors report three cases of division anomalies (bifurcation and fenestrations) of the internal jugular vein (IJV) revealed intraoperatively during cervical lymph node dissection. Although these terms are commonly interchanged in the literature, they are used interchangeably often granting ambiguity among surgeons. The objective of this work was to report our experience through three clinical observations collected from 2017 to 2022 in order to be able to build the different terminologies and also discuss the clinical implications. Clinical cases: These are three patients aged 55, 59 and 62, male, who all underwent total laryngectomy plus bilateral functional lymph node dissection for squamous cell carcinoma classified as T4aN2bMO, T4aN1MO, T4aN2aMO. During the recesses of the right sides, the dissection carried out along the internal jugular vein found a small duplication in the shape of a "needle point" giving the appearance of a window (fenestration) through which the spinal nerve passed between the branches. In one case, the window was slightly wide in the second patient and in the third patient we found splitting of the vein with a bifurcation type. The postoperative course was simple. Conclusion: Divisions (duplication, bifurcation or fenestration) of IJV are rare and are mainly observed during cervical surgery, diagnostic imaging, and very rarely during cadaver dissection. Understanding its IJV variation abnormalities is important to avoid iatrogenic injury during cervical surgery or during central venous catheterization.},
 year = {2022}
}

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TY  - JOUR
T1  - Anatomical Variations of the Internal Jugular Vein: Focus Through Three Clinical Observations
AU  - Kassim Diarra
AU  - N’faly Konaté
AU  - Youssouf Sidibé
AU  - Kalifa Coulibaly
AU  - Drissa Kaloga Bagayoko
AU  - Moussa Bourama Keita
AU  - Fatogoma Issa Koné
AU  - Boubacary Guindo
AU  - Siaka Soumaoro
AU  - Doumbia Kadidiatou Singare
AU  - Mohamed Amadou Keita
Y1  - 2022/07/29
PY  - 2022
N1  - https://doi.org/10.11648/j.ijo.20220802.13
DO  - 10.11648/j.ijo.20220802.13
T2  - International Journal of Otorhinolaryngology
JF  - International Journal of Otorhinolaryngology
JO  - International Journal of Otorhinolaryngology
SP  - 41
EP  - 45
PB  - Science Publishing Group
SN  - 2472-2413
UR  - https://doi.org/10.11648/j.ijo.20220802.13
AB  - The authors report three cases of division anomalies (bifurcation and fenestrations) of the internal jugular vein (IJV) revealed intraoperatively during cervical lymph node dissection. Although these terms are commonly interchanged in the literature, they are used interchangeably often granting ambiguity among surgeons. The objective of this work was to report our experience through three clinical observations collected from 2017 to 2022 in order to be able to build the different terminologies and also discuss the clinical implications. Clinical cases: These are three patients aged 55, 59 and 62, male, who all underwent total laryngectomy plus bilateral functional lymph node dissection for squamous cell carcinoma classified as T4aN2bMO, T4aN1MO, T4aN2aMO. During the recesses of the right sides, the dissection carried out along the internal jugular vein found a small duplication in the shape of a "needle point" giving the appearance of a window (fenestration) through which the spinal nerve passed between the branches. In one case, the window was slightly wide in the second patient and in the third patient we found splitting of the vein with a bifurcation type. The postoperative course was simple. Conclusion: Divisions (duplication, bifurcation or fenestration) of IJV are rare and are mainly observed during cervical surgery, diagnostic imaging, and very rarely during cadaver dissection. Understanding its IJV variation abnormalities is important to avoid iatrogenic injury during cervical surgery or during central venous catheterization.
VL  - 8
IS  - 2
ER  -

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Author Information

Kassim Diarra

ENT and Head and Neck Surgery Department, University Hospital Center “Gabriel Touré”, Bamako, Mali
N’faly Konaté

ENT and Head and Neck Surgery Department, University Hospital Center “Gabriel Touré”, Bamako, Mali
Youssouf Sidibé

ENT and Head and Neck Surgery Department, University Hospital Center Mother-Child “Le Luxembourg”, Bamako, Mali
Kalifa Coulibaly

ENT and Head and Neck Surgery Department, University Hospital Center “Gabriel Touré”, Bamako, Mali
Drissa Kaloga Bagayoko

Department of Anesthesia Resuscitation, University Hospital Center Mother-Child “Le Luxembourg”, Bamako, Mali
Moussa Bourama Keita

ENT and Head and Neck Surgery Department, University Hospital Center “Gabriel Touré”, Bamako, Mali
Fatogoma Issa Koné

ENT and Head and Neck Surgery Department, University Hospital Center “Gabriel Touré”, Bamako, Mali
Boubacary Guindo

ENT and Head and Neck Surgery Department, University Hospital Center “Gabriel Touré”, Bamako, Mali
Siaka Soumaoro

ENT and Head and Neck Surgery Department, University Hospital Center “Gabriel Touré”, Bamako, Mali
Doumbia Kadidiatou Singare

ENT and Head and Neck Surgery Department, University Hospital Center “Gabriel Touré”, Bamako, Mali
Mohamed Amadou Keita

ENT and Head and Neck Surgery Department, University Hospital Center “Gabriel Touré”, Bamako, Mali

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Plain Text BibTeX RIS

APA Style

Kassim Diarra, N’faly Konaté, Youssouf Sidibé, Kalifa Coulibaly, Drissa Kaloga Bagayoko, et al. (2022). Anatomical Variations of the Internal Jugular Vein: Focus Through Three Clinical Observations. International Journal of Otorhinolaryngology, 8(2), 41-45. https://doi.org/10.11648/j.ijo.20220802.13

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ACS Style

Kassim Diarra; N’faly Konaté; Youssouf Sidibé; Kalifa Coulibaly; Drissa Kaloga Bagayoko, et al. Anatomical Variations of the Internal Jugular Vein: Focus Through Three Clinical Observations. Int. J. Otorhinolaryngol. 2022, 8(2), 41-45. doi: 10.11648/j.ijo.20220802.13

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AMA Style

Kassim Diarra, N’faly Konaté, Youssouf Sidibé, Kalifa Coulibaly, Drissa Kaloga Bagayoko, et al. Anatomical Variations of the Internal Jugular Vein: Focus Through Three Clinical Observations. Int J Otorhinolaryngol. 2022;8(2):41-45. doi: 10.11648/j.ijo.20220802.13

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@article{10.11648/j.ijo.20220802.13,
  author = {Kassim Diarra and N’faly Konaté and Youssouf Sidibé and Kalifa Coulibaly and Drissa Kaloga Bagayoko and Moussa Bourama Keita and Fatogoma Issa Koné and Boubacary Guindo and Siaka Soumaoro and Doumbia Kadidiatou Singare and Mohamed Amadou Keita},
  title = {Anatomical Variations of the Internal Jugular Vein: Focus Through Three Clinical Observations},
  journal = {International Journal of Otorhinolaryngology},
  volume = {8},
  number = {2},
  pages = {41-45},
  doi = {10.11648/j.ijo.20220802.13},
  url = {https://doi.org/10.11648/j.ijo.20220802.13},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ijo.20220802.13},
  abstract = {The authors report three cases of division anomalies (bifurcation and fenestrations) of the internal jugular vein (IJV) revealed intraoperatively during cervical lymph node dissection. Although these terms are commonly interchanged in the literature, they are used interchangeably often granting ambiguity among surgeons. The objective of this work was to report our experience through three clinical observations collected from 2017 to 2022 in order to be able to build the different terminologies and also discuss the clinical implications. Clinical cases: These are three patients aged 55, 59 and 62, male, who all underwent total laryngectomy plus bilateral functional lymph node dissection for squamous cell carcinoma classified as T4aN2bMO, T4aN1MO, T4aN2aMO. During the recesses of the right sides, the dissection carried out along the internal jugular vein found a small duplication in the shape of a "needle point" giving the appearance of a window (fenestration) through which the spinal nerve passed between the branches. In one case, the window was slightly wide in the second patient and in the third patient we found splitting of the vein with a bifurcation type. The postoperative course was simple. Conclusion: Divisions (duplication, bifurcation or fenestration) of IJV are rare and are mainly observed during cervical surgery, diagnostic imaging, and very rarely during cadaver dissection. Understanding its IJV variation abnormalities is important to avoid iatrogenic injury during cervical surgery or during central venous catheterization.},
 year = {2022}
}

Copy | Download

TY  - JOUR
T1  - Anatomical Variations of the Internal Jugular Vein: Focus Through Three Clinical Observations
AU  - Kassim Diarra
AU  - N’faly Konaté
AU  - Youssouf Sidibé
AU  - Kalifa Coulibaly
AU  - Drissa Kaloga Bagayoko
AU  - Moussa Bourama Keita
AU  - Fatogoma Issa Koné
AU  - Boubacary Guindo
AU  - Siaka Soumaoro
AU  - Doumbia Kadidiatou Singare
AU  - Mohamed Amadou Keita
Y1  - 2022/07/29
PY  - 2022
N1  - https://doi.org/10.11648/j.ijo.20220802.13
DO  - 10.11648/j.ijo.20220802.13
T2  - International Journal of Otorhinolaryngology
JF  - International Journal of Otorhinolaryngology
JO  - International Journal of Otorhinolaryngology
SP  - 41
EP  - 45
PB  - Science Publishing Group
SN  - 2472-2413
UR  - https://doi.org/10.11648/j.ijo.20220802.13
AB  - The authors report three cases of division anomalies (bifurcation and fenestrations) of the internal jugular vein (IJV) revealed intraoperatively during cervical lymph node dissection. Although these terms are commonly interchanged in the literature, they are used interchangeably often granting ambiguity among surgeons. The objective of this work was to report our experience through three clinical observations collected from 2017 to 2022 in order to be able to build the different terminologies and also discuss the clinical implications. Clinical cases: These are three patients aged 55, 59 and 62, male, who all underwent total laryngectomy plus bilateral functional lymph node dissection for squamous cell carcinoma classified as T4aN2bMO, T4aN1MO, T4aN2aMO. During the recesses of the right sides, the dissection carried out along the internal jugular vein found a small duplication in the shape of a "needle point" giving the appearance of a window (fenestration) through which the spinal nerve passed between the branches. In one case, the window was slightly wide in the second patient and in the third patient we found splitting of the vein with a bifurcation type. The postoperative course was simple. Conclusion: Divisions (duplication, bifurcation or fenestration) of IJV are rare and are mainly observed during cervical surgery, diagnostic imaging, and very rarely during cadaver dissection. Understanding its IJV variation abnormalities is important to avoid iatrogenic injury during cervical surgery or during central venous catheterization.
VL  - 8
IS  - 2
ER  -

Copy | Download