A case of anterior ischemic optic neuropathy after metachronous bilateral radical neck dissection

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  • GOTO Akihiko
    Department of Oral Maxillofacial Surgery, Shizuoka General Hospital
  • ADACHI Moriyasu
    Department of Oral Maxillofacial Surgery, Shizuoka General Hospital
  • OTAKE Hiroki
    Department of Oral Maxillofacial Surgery, Shizuoka General Hospital
  • FURUTA Hiroshi
    Department of Oral Maxillofacial Surgery, Shizuoka General Hospital
  • KATAYAMA Yoshiko
    Department of Oral and Maxillofacial Surgery, Nagoya Ekisaikai Hospital Department of Oral Maxillofacial Surgery, Aichi-Gakuin University School of Dentistry
  • ABE Atsushi
    Department of Oral and Maxillofacial Surgery, Nagoya Ekisaikai Hospital

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  • 異時的に施行した両側根治的頸部郭清術後に前部虚血性視神経症を発症した1例
  • イジテキ ニ シコウ シタ リョウガワ コンジテキ ケイブカクセイ ジュツゴ ニ ゼンブキョケツセイ シシンケイショウ オ ハッショウ シタ 1レイ

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Abstract

<p>Although eye complications after neck dissection (ND) are rare, such complications may lead to blindness and therefore have a serious impact on the patient’s quality of life. We report a case of anterior ischemic optic neuropathy (AION) that developed after metachronous bilateral RND. The patient was a 55-year-old woman who underwent right RND for cervical lymph node metastases from squamous cell carcinoma of the tongue. Eight months after the first RND on the right side, left cervical lymph node metastases developed, and left RND was consequently performed. On the third day after the second RND, AION developed, and on the ninth day, she lost her vision. Ischemic optic neuropathy after ND is a serious complication to recognize.</p>

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