Severe cervical chyle fistula after radical neck dissection.
The case of a chylous cervical fistula detected immediately after radical neck dissection is presented. The flow and metabolic derangements secondary to depletion of fluid, electrolytes, and protein required the ligation of the thoracic duct at the thoracic cavity. The various possible treatments of chylous fistula are reviewed.
Rollon
A
A
Department of Oral and Maxillofacial Surgery, University Hospital Virgen Macarena, Seville, Spain.
Salazar
C
C
Mayorga
F
F
Marin
R
R
Infante
P
P
D001798:Blood Proteins / Q000378:metabolism; D002913:Chyle / Q000378:metabolism; D005402:Fistula / Q000209:etiology* / Q000378:metabolism / Q000601:surgery; D005500:Follow-Up Studies; D006801:Humans; D008026:Ligation; D008206:Lymphatic Diseases / Q000209:etiology* / Q000378:metabolism / Q000601:surgery; D008875:Middle Aged; D009062:Mouth Neoplasms / Q000601:surgery; D037981:Neck Dissection / Q000009:adverse effects*; D011188:Potassium / Q000378:metabolism; D012964:Sodium / Q000378:metabolism; D013897:Thoracic Duct / Q000601:surgery; D014883:Water-Electrolyte Imbalance / Q000209:etiology / Q000378:metabolism
D001798:Blood Proteins; D012964:Sodium; D011188:Potassium