title: [Validity of high negative pressure drainage for chylous fistula after neck dissection: a report of eight cases].
abstract: 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.
authors.affiliation: Department of Otolaryngology, Qilu Hospital, Shandong University, Jinan, Shandong, 250012, P. R. China. entwuhao@163.com.
authors.forename: Hao
authors.initials: H
authors.lastname: Wu
authors.forename: Xin-Liang
authors.initials: XL
authors.lastname: Pan
authors.forename: Da-Yu
authors.initials: DY
authors.lastname: Liu
authors.forename: Da-Peng
authors.initials: DP
authors.lastname: Lei
authors.forename: Feng-Lei
authors.initials: FL
authors.lastname: Xu
authors.forename: Xin-Yong
authors.initials: XY
authors.lastname: Luan
mesh_terms: 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