This Article  • References  • Full text PDF  • Reply to article  • Send to a friend  • Save in My Folder  • Save to citation manager  • Permissions  Citing Articles  • Citing articles on HighWire  • Contact me when this article is cited  Related Content  • Similar articles in this journal  Social Bookmarking   What's this?

W. Frederick McGuirt, MD; John S. May, MD

Arch Otolaryngol Head Neck Surg. 1987;113(10):1098-1100.

Abstract
• The incidence of hypertension following radical neck dissection was examined in 94 consecutive patients. Nine patients (9.6%) had postoperative blood pressure readings of 200/100 mm Hg or higher (n = 4) or of more than 40 mm Hg systolic and more than 20 mm Hg diastolic above preoperative levels (n = 5); ten patients (10.6%) had blood pressure readings of more than 40 mm Hg systolic or more than 20 mm Hg diastolic above preoperative levels. These elevations usually occurred in the first two postoperative hours and lasted approximately nine hours. Six patients required interventional therapy (intravenous nitroglycerin or sodium nitroprusside). No cardiac or central nervous system sequelae resulted, but two patients had postoperative hemorrhage and flap elevation by hematoma attributed to the hypertension. Carotid sinus denervation during radical neck dissection may be the cause of the reflex hypertension once general anesthesia-induced vasodilation has ended. Stripping of tumor from the carotid artery or placement of dermis grafts directly on the artery do not appear to influence postoperative development of hypertension.

(Arch Otolaryngol Head Neck Surg 1987;113:1098-1100)

Author Affiliations
From the Section on Otolaryngology, Department of Surgery, Wake Forest University Medical Center, Winston-Salem, NC.

Footnotes
Accepted for publication April 20, 1987.

Read before the James A. Harrill Lecture and Otolaryngology Seminar, Winston-Salem, NC, May 8, 1987.

Reprint requests to Section on Otolaryngology, Department of Surgery, Wake Forest University Medical Center, 300 S Hawthorne Rd, Winston-Salem, NC 27103 (Dr McGuirt).

CiteULike    Connotea    Del.icio.us    Digg    Reddit    Technorati    Twitter     What's this?

THIS ARTICLE HAS BEEN CITED BY OTHER ARTICLES

Pharmacological Review of Postoperative Hypertension
Lewis
Journal of Pharmacy Practice 2002;15:135-146.
ABSTRACT