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

• Published in: 日本口腔外科学会雑誌 Vol. 65; no. 3; pp. 166 - 171
• Main Authors: 片山, 良子, 古田, 浩史, 大竹, 寛紀, 阿部, 厚, 後藤, 明彦, 足立, 守安
• Format: Journal Article
• Language: Japanese
• Published: 社団法人 日本口腔外科学会 20.03.2019
• Subjects: 合併症; 虚血性視神経症; 頸部郭清術
• ISSN: 0021-5163; 2186-1579
• DOI: 10.5794/jjoms.65.166

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.