The use of topical tetracycline in the management of persistent chylous fistulae.
The management of chylous fistulae remains controversial. A detailed conservative protocol and guidelines regarding surgical intervention are lacking in the literature. This paper presents our experience in the management of two cases of persistent chylous fistulae by successfully employing topical tetracycline. Our regimen of management is discussed and illustrated with the above two cases. An updated review of the pertinent anatomy, physiology, and literature is presented.
D000287:Administration, Topical; D002913:Chyle / Q000502:physiology; D005260:Female; D005402:Fistula / Q000188:drug therapy* / Q000209:etiology; D006258:Head and Neck Neoplasms / Q000601:surgery*; D006801:Humans; D007830:Larynx / Q000601:surgery; D008297:Male; D008875:Middle Aged; D009333:Neck / Q000601:surgery*; D010614:Pharynx / Q000601:surgery; D011183:Postoperative Complications; D013752:Tetracycline / Q000627:therapeutic use*; D013897:Thoracic Duct / Q000033:anatomy & histology
D013752:Tetracycline