Abstract
The external jugular vein is increasingly being used as the recipient vein in head and neck tissue transfers, and for cannulation to conduct diagnostic procedures or intravenous therapies. The variations in the patterns of its course, and knowledge of these variations, are therefore important. We report on a bilateral external jugular vein anomaly found during the neck dissection of an approximately 75-year-old female cadaver, a case which has hitherto not been reported. The vein was absent on the left and fenestrated on the right. An embryological evaluation and the clinical implications of the anomaly are described. Clinicians and surgeons performing vascular or reconstructive surgery should be made aware of this variation of the external jugular vein to prevent inadvertent injury.
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Balachandra N, Padmalatha K, Prakash BS, Ramesh BR (2012) Variation of the veins of the head and neck—external jugular vein and facial vein. Int J Anat Var 5:99–101
Bergman RA, Afifi AK, Miyauchi R (1988) Compendium of human anatomic variation. Urban and Schwarzenberg, Baltimore
Chauhan NK, Rani A, Chopra J, Rani A, Srivastava AK, Kumar V (2011) Anomalous formation of external jugular vein and its clinical implication. Natl J Maxillofac Surg 2:51–53
Comert E, Comert A (2009) External jugular vein duplication. J Craniofac Surg 20:2173–2174
Cvetko E (2013) A case of unilateral fenestration of the external jugular vein, through which the cervical branch of the facial nerve passes. Anat Sci Int 88:151–152
Downie SA, Schalop L, Mazurek JN, Savitch G, Lelonek GJ, Olson TR (2007) Bilateral duplicated internal jugular veins: case study and literature review. Clin Anat 20:260–266
Nayak SB, Soumya KV (2008) Abnormal formation and communication of external jugular vein. Int J Anat Var 1:15–16
Parker JL, Flucker CJ, Harvey N, Maguire AM, Russell WC, Thompson JP (2002) Comparison of external jugular and central venous pressures in mechanically ventilated patient. Anaesthesia 57:596–600
Patil J, Kumar N, Swamy RS, Guru A, D’Souza MR, Nayak SB (2014) Absence of retromandibular vein associated with atypical formation of external jugular vein in the parotid region. Anat Cell Biol 47:135–137
Prades JM, Timoshenko A, Dumollard JM, Durand M, Merzougui N, Martin C (2002) High duplication of the internal jugular vein: clinical incidence in the adult and surgical consequences, a report of three clinical cases. Surg Radiol Anat 24:129–132
Snoj Ž, Cvetko E (2013) A case of unilateral fenestration and duplication of the external jugular vein. Int J Morphol 31:107–109
Williams PL, Bannister LH, Berry MM, Collins P, Dyson M, Dussek JE, Gerguson MW (1995) Gray’s anatomy, 38th edn. Churchill Livingstone Inc, New York
Acknowledgments
We would like to express our gratitude to Mojca Knez Ambrožič, DMD, MD and Ivan Blažinovič for their dissection work, and to Marko Slak for his figure labeling work.
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Cvetko, E. A case of left-sided absence and right-sided fenestration of the external jugular vein and a review of the literature. Surg Radiol Anat 37, 883–886 (2015). https://doi.org/10.1007/s00276-014-1398-z
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DOI: https://doi.org/10.1007/s00276-014-1398-z