Management of chyle leak post neck dissection: a case report and literature review.
J Plast Reconstr Aesthet Surg
; 64(9): e223-30, 2011 Sep.
Article
in En
| MEDLINE
| ID: mdl-21296632
ABSTRACT
Chyle leakage post head-and-neck resection is a rare but potentially life-threatening complication. Management may be problematic and prolonged. Recently, thoracoscopic ligation of the thoracic duct has emerged as a promising technique to definitively treat this difficult problem. We present a recent case of a hemimandibulectomy, radical modified neck dissection and osseocutaneous fibular-free-flap complicated by a chyle leakage. The chyle leak was successfully treated with thoracoscopic ligation of the thoracic duct. In the light of our clinical experience and following a thorough literature review, we have proposed that complicated or high-output chyle leaks (>1000 ml day(-1)) should be treated with early thoracoscopic thoracic duct ligation.
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Postoperative Complications
/
Thoracic Duct
/
Thoracoscopy
/
Chylothorax
Type of study:
Etiology_studies
/
Systematic_reviews
Limits:
Aged80
/
Humans
/
Male
Language:
En
Journal:
J Plast Reconstr Aesthet Surg
Year:
2011
Document type:
Article
Affiliation country:
United kingdom