Department of ENT, ABVIMS & Dr RML Hospital New Delhi-110001India.
10.22038/ijorl.2024.82759.3789
Abstract
Introduction: Internal Jugular Vein (IJV) is an important landmark for Head and Neck surgeons during oncological clearance of disease from neck and microvascular reconstruction as well as for the intensivist during central line insertion. Detailed knowledge of the IJV anatomy and its variations is important to avert any catastrophic complications during surgery. Materials and Methods: Data of 350 patients was recorded prospectively and analysed over a period of two years and presence of IJV duplication was documented as percentages. Results: A total of 350 patients with diagnosed oral cavity carcinoma were included who underwent neck dissection out of which seven patients were identified with Internal Jugular Vein duplication making it an institutional clinical prevalence of around 2%. Conclusion: IJV duplication is inadvertently found intra operatively on maximum number of occasions therefore to avoid the risk of iatrogenic injury and undesired complications, preoperative imaging should be carefully assessed while planning the patient for surgery.
Romanes GJ. Cunningham’s manual of practical anatomy Vol.3. Oxford, England: Oxford University Press; 2008.
Nayak SP, Ashraf M, Dam A, Biswas J. Internal jugular vein duplication: Review and classification. Indian J Surg Oncol. 2017;8(2):222–6.
Watkinson JC, Gilbert RW, Stell PM. Stell & Maran’s Textbook of Head and Neck Surgery and Oncology, 5th edn. London: Hodder Arnold, 2012.
Hedayat F, Lauder JJ, Kyzas P, Vassiliou LV. Internal jugular vein duplication: clinical significance for head and neck cancer ablative and reconstructive surgery. J Surg Case Rep. 2021; 2021(7): rjab300.
Burman S, Pandey S, Rao S, Rao S. Duplication of the internal jugular vein: a rare presentation during neck dissection. BMJ Case Rep. 2021; 14(2): e239007.
Rao S, Pandey S, Kumar Y, Rao S. Bifurcation of external jugular vein: an anatomical variation during neck dissection. Oral Maxillofac Surg. 2018; 22(4):475–6.
Downie SA, Schalop L, Mazurek JN, Savitch G, Lelonek GJ, Olson TR. Bilateral duplicated internal jugular veins: Case study and literature review. Clin Anat. 2007;20(3):260–6.
Hashimoto Y, Otsuki N, Morimoto K, Saito M, Nibu K-I. Four cases of spinal accessory nerve passing through the fenestrated internal jugular vein. Surg Radiol Anat. 2012;34(4):373–5.
Wang X, Peng L, Guo H, Hernesniemi J, Xiong X, Andrade-Barazarte H, et al. Internal jugular vein fenestration and duplication: Anatomical findings, prevalence, and literature review. Front Surg. 2020;7.
Prades J, Timoshenko A, Dumollard J, Durand M, Merzougui N, Martin C. High duplication of the internal jugular vein: clinical incidence in the adult and surgical consequences, a report of three clinical cases. Surg Radiol Anat. 2002;24(2):129–32.
Contrera KJ, Aygun N, Ward BK, Gooi Z, Richmon JD. Internal jugular vein duplication and fenestration: Case series and literature review: IJV Duplication and Fenestration. Laryngoscope. 2016; 126(7):1585–8.
Sakthivel S, Banu J, Dhakshnamoorthy N, Hottigoudar SY. Anatomical variations in the course of spinal accessory nerve in the neck triangles: A descriptive study. Morphologie. 2024; 108(361): 100761
Moreno-Sánchez M, Hernández Vila C, González-García R, Monje F. Fenestrated internal jugular vein: a rare finding in neck dissection. Int J Oral Maxillofac Surg. 2015;44(9):1086–7.
Mumtaz S, Singh M. Surgical review of the anatomical variations of the internal jugular vein: an update for head and neck surgeons. Ann R Coll Surg Engl. 2019;101(1):2–6.
Turan-Ozdemir S, Coskun H, Balban M. Phlebectasia of the external jugular vein associated with duplication of the internal jugular vein. Clin Anat. 2004;17(6):522–5.
Wong BYW, Strachan DR, Loney EL. Duplication of internal jugular veins: case report. J Laryngol Otol. 2010;124(3):341–4.
Rossi A, Tortori-Donati P. Internal jugular vein phlebectasia and duplication: case report with magnetic resonance angiography features. PediatrRadiol. 2001;31(2):134–134.
Som PM, Shugar JMA, Sacher M, Lanzieri CF. Internal jugular vein phlebectasia and duplication: CT features. J Comput Assist Tomogr. 1985; 9(2): 390–2.
Shukla, I. , Agarwal, A. and Changanath Kader, R. (2025). Internal Jugular Vein Duplication: A series of Seven Cases and Review of Literature. Iranian Journal of Otorhinolaryngology, 37(2), 91-94. doi: 10.22038/ijorl.2024.82759.3789
MLA
Shukla, I. , , Agarwal, A. , and Changanath Kader, R. . "Internal Jugular Vein Duplication: A series of Seven Cases and Review of Literature", Iranian Journal of Otorhinolaryngology, 37, 2, 2025, 91-94. doi: 10.22038/ijorl.2024.82759.3789
HARVARD
Shukla, I., Agarwal, A., Changanath Kader, R. (2025). 'Internal Jugular Vein Duplication: A series of Seven Cases and Review of Literature', Iranian Journal of Otorhinolaryngology, 37(2), pp. 91-94. doi: 10.22038/ijorl.2024.82759.3789
CHICAGO
I. Shukla , A. Agarwal and R. Changanath Kader, "Internal Jugular Vein Duplication: A series of Seven Cases and Review of Literature," Iranian Journal of Otorhinolaryngology, 37 2 (2025): 91-94, doi: 10.22038/ijorl.2024.82759.3789
VANCOUVER
Shukla, I., Agarwal, A., Changanath Kader, R. Internal Jugular Vein Duplication: A series of Seven Cases and Review of Literature. Iranian Journal of Otorhinolaryngology, 2025; 37(2): 91-94. doi: 10.22038/ijorl.2024.82759.3789