[Repair of solitary internal jugular vein after laryngeal cancer recurrence].

The following is the case of a man aged 61 with a history of smoking and laryngeal papillomatosis. He was treated with multiple endoscopic surgical interventions. Transformation to stage III larynx and neck (T3, N1) cancer was presented and a total laryngectomy was performed with bilateral neck dissection and left internal jugular vein (IJV) ligation. The anatomopathological report showed epidermoid carcinoma (1/22 positive left lymph nodes, with extracapsular rupture and 0/22 right). The patient received adjuvant chemotherapy/radiotherapy with 6 cycles of platinum and 5-FU. Level II right neck (3 cm) progression presented at 2 months, with no distant disease, and the patient was sent to the Institute. Tumorectomy was performed, and invasion of the right internal jugular vein was observed (Fig. 1A). Partial resection and reconstruction were performed with a bovine pericardium