Simulating a Bloodless Surgical Field: A Study on Varying Relationship of Internal Jugular Vein and Common Carotid Artery with Neck Rotation.

IF 0.6 Q4 SURGERY

Indian Journal of Otolaryngology and Head and Neck Surgery Pub Date : 2025-06-01 Epub Date: 2025-05-09 DOI:10.1007/s12070-025-05459-8

Parnini Goswami, Rajendra B Metgudmath

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引用次数: 0

Abstract

To evaluate the intervarying relationship of IJV and CCA at supine and after simulating rotation to 15, 30 and 45 degrees respectively. A one year study was undertaken and 104 IJVs were evaluated at supine and after simulating 15-, 30- and 45-degree neck rotation to the contralateral side.The study had a male predilection of 68.63% over 33.33% females. Prior to simulating rotation, the IJV was Anterolateral (42%), Lateral (39%), Posterolateral (22%), Posterior (1%) and with subsequent rotation it assumed a more anterior relationship. The mean overlap of IJV and CCA was 27.7 at 0 degree, 32.93 at 15 degrees, 37.73 at 30 degree and 37.81 at 45-degree neck rotation and 26.7 at 0 degree, 29.24 at 15 degrees, 35.58 at 30 degree and 31.52 at 45-degree neck rotation on left; thereby showing increasing overlap with rotation.Special attention should be paid to anterior shifting of IJV relative to CCA induced with neck rotation. Taking this knowledge into account in the operative field can minimize surgical errors and intra operative complications.

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模拟无血手术野：颈内静脉和颈总动脉随颈部旋转变化关系的研究。

评价仰卧位和模拟旋转15度、30度和45度后IJV和CCA的互变关系。进行了为期一年的研究，并在模拟15度，30度和45度颈部向对侧旋转后，对仰卧位和IJVs进行了评估。该研究中男性的偏好率为68.63%，女性为33.33%。在模拟旋转之前，IJV为前外侧（42%），外侧（39%），后外侧（22%），后侧（1%），随着随后的旋转，IJV呈更前的关系。左颈0度、15度、30度、45度旋转时IJV与CCA的平均重叠度分别为27.7、32.93、37.73、37.81，左颈0度旋转时26.7、15度旋转时29.24、30度旋转时35.58、45度旋转时31.52；从而显示出随着旋转重叠的增加。应特别注意颈旋转引起的相对于CCA的IJV前移。在手术领域考虑这些知识可以最大限度地减少手术错误和术中并发症。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Indian Journal of Otolaryngology and Head and Neck Surgery Medicine-Otorhinolaryngology

CiteScore

0.80

自引率

0.00%

发文量

226

审稿时长

6-12 weeks

期刊介绍： Indian Journal of Otolaryngology and Head & Neck Surgery was founded as Indian Journal of Otolaryngology in 1949 as a scientific Journal published by the Association of Otolaryngologists of India and was later rechristened as IJOHNS to incorporate the changes and progress. IJOHNS, undoubtedly one of the oldest Journals in India, is the official publication of the Association of Otolaryngologists of India and is about to publish it is 67th Volume in 2015. The Journal published quarterly accepts articles in general Oto-Rhino-Laryngology and various subspecialities such as Otology, Rhinology, Laryngology and Phonosurgery, Neurotology, Head and Neck Surgery etc. The Journal acts as a window to showcase and project the clinical and research work done by Otolaryngologists community in India and around the world. It is a continued source of useful clinical information with peer review by eminent Otolaryngologists of repute in their respective fields. The Journal accepts articles pertaining to clinical reports, Clinical studies, Research articles in basic and applied Otolaryngology, short Communications, Clinical records reporting unusual presentations or lesions and new surgical techniques. The journal acts as a catalyst and mirrors the Indian Otolaryngologist’s active interests and pursuits. The Journal also invites articles from senior and experienced authors on interesting topics in Otolaryngology and allied sciences from all over the world. The print version is distributed free to about 4000 members of Association of Otolaryngologists of India and the e-Journal shortly going to make its appearance on the Springer Board can be accessed by all the members. Association of Otolaryngologists of India and M/s Springer India group have come together to co-publish IJOHNS from January 2007 and this bondage is going to provide an impetus to the Journal in terms of international presence and global exposure.