[Validity of high negative pressure drainage for chylous fistula after neck dissection: a report of eight cases].
OBJECTIVE
Chylous fistula, a severe complication after operation on neck, has close correlation with definite anatomical position and variation. Its treatment remains controversial. This study was to evaluate the validity of high negative pressure drainage for chylous fistula after neck dissection.


METHODS
A treatment of high negative pressure (-30 to -50 kPa) drainage, fasting, and reasonable venous nutrition was applied to 8 patients with postoperative chylous fistula.


RESULTS
Of the 8 patients, 7 recovered smoothly without severe complication, and pectoralis major muscle flap was adopted to cure the failed one.


CONCLUSIONS
A treatment of high negative pressure drainage and reasonable diet is effective and safe for chylous fistula at early stage.
Wu
Hao
H
Department of Otolaryngology, Qilu Hospital, Shandong University, Jinan, Shandong, 250012, P. R. China. entwuhao@163.com.
Pan
Xin-Liang
XL
Liu
Da-Yu
DY
Lei
Da-Peng
DP
Xu
Feng-Lei
FL
Luan
Xin-Yong
XY
D002913:Chyle / Q000378:metabolism*; D004322:Drainage; D004938:Esophageal Neoplasms / Q000601:surgery*; D005260:Female; D005402:Fistula / Q000209:etiology / Q000628:therapy*; D006801:Humans; D007012:Hypopharyngeal Neoplasms / Q000601:surgery; D007822:Laryngeal Neoplasms / Q000601:surgery*; D008207:Lymphatic Metastasis; D008297:Male; D008875:Middle Aged; D037981:Neck Dissection / Q000009:adverse effects*; D012189:Retrospective Studies