Simultaneous bilateral radical neck dissection followed by internal Jugular vein reconstruction

Bilateral radical dissection is not a procedure and had been known long time ago by the experts, but rarely performed due to the undesired and unpleasant complications, especially disturbance in venous return from cranial and cervical region. With respect to the intracranial and other serious compilations, attempts were made to maintain the flow of venous drainage from the head and neck region by reconstructing the internal jugular vein. A of carcinoma of the larynx with bilateral neck nodes metastases was reported and simultaneous radical treatment was conducted by performing simultaneous bilateral radical neck dissection and laryngectomy, followed by reconstruction left internal jugular vein using savena magna vein. Six month follow up showed no intracranial complication.