0
We're unable to sign you in at this time. Please try again in a few minutes.
Retry
We were able to sign you in, but your subscription(s) could not be found. Please try again in a few minutes.
Retry
There may be a problem with your account. Please contact the AMA Service Center to resolve this issue.
Contact the AMA Service Center:
Telephone: 1 (800) 262-2350 or 1 (312) 670-7827  *   Email: subscriptions@jamanetwork.com
Error Message ......
ARTICLE |

Sudden Blindness After Simultaneous Bilateral Radical Neck Dissection

RUBEN A. TORTI, MD; ALANDO J. BALLANTYNE, MD; RALPH G. BERKELEY, MD
Arch Surg. 1964;88(2):271-274. doi:10.1001/archsurg.1964.01310200109022.
Text Size: A A A
Published online

The feasibility of staged or simultaneous bilateral radical neck dissection has been adequately demonstrated. In 1961 Frazell and Moore1 reported 467 patients upon whom a two-stage bilateral radical neck dissection had been carried out. There were eight postoperative deaths (1.7%). Complications were observed in 30% of the patients, the most frequent being associated with faulty wound healing. Simultaneous bilateral radical neck dissection was first successfully performed by Perzik in 1949.2,3 In 1951 Moore and Smith4 reported 12 patients in whom the simultaneous procedure had been accomplished. There was one surgical death due to aspiration pneumonia. Equally favorable series have been reported since.5-9

In spite of these results, surgeons have feared the inherent physiologic consequences that may result from these bilateral procedures. The main objection has been the possible increase of intracranial pressure following removal of the jugular system of veins.

In 1960 a case of blindness

Topics

Sign in

Create a free personal account to sign up for alerts, share articles, and more.

Purchase Options

• Buy this article
• Subscribe to the journal

First Page Preview

View Large
First page PDF preview

First Page Preview

View Large
First page PDF preview

Figures

Tables

References

Correspondence

CME
Also Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
Please click the checkbox indicating that you have read the full article in order to submit your answers.
Your answers have been saved for later.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.
Submit a Comment

Multimedia

Some tools below are only available to our subscribers or users with an online account.

Sign in

Create a free personal account to sign up for alerts, share articles, and more.

Purchase Options

• Buy this article
• Subscribe to the journal

Related Content

Customize your page view by dragging & repositioning the boxes below.

Jobs
brightcove.createExperiences();