In this paper we describe a patient who underwent radical neck dissection with bilateral excision of the internal jugular veins because of recurrent laryngeal cancer with infiltration of both internal jugular veins. One of the jugular veins was reconstructed using a segment of the femoral vein. Follow-up 12 months after the procedure revealed normal flow through the reconstructed vein, no clinical signs of impaired venous outflow from the head and neck, and no leg oedema, despite lacking a segment of the femoral vein. In selected patients presenting with advanced cancers of the neck, with other veins, such as the external jugular vein or saphenous vein, not suitable for use as a graft, this method of reconstruction of the internal jugular vein can be performed in order to protect the patient from complications associated with impaired venous outflow.