title: High output chyle leak after neck surgery: the role of video-assisted thoracoscopic surgery.
abstract: Injury to the thoracic duct leading to formation of a chylous fistula is an infrequent but serious complication of major neck surgery that can result in a prolonged stay in hospital, and may lead to fluid, electrolyte, protein, and immune disturbances. Healing can also be impaired. We describe a case where an excessive chylous leak also contributed to the failure of two free flaps in the same patient, and we make recommendations regarding management of patients with free tissue transfer where this complication arises.
authors.affiliation: Oral & Maxillofacial Surgery, Bradford Teaching Hospitals NHS Foundation Trust, St. Luke's Hospital, Little Horton Way, Bradford, BD5 0NA, UK. khalidabdelgalil@doctors.org.uk
authors.forename: Khalid
authors.initials: K
authors.lastname: Abdel-Galil
authors.forename: Richard
authors.initials: R
authors.lastname: Milton
authors.forename: James
authors.initials: J
authors.lastname: McCaul
mesh_terms: D002916:Chylothorax / Q000209:etiology*; D005402:Fistula / Q000209:etiology* / Q000601:surgery; D006084:Graft Rejection; D006801:Humans; D008026:Ligation; D008297:Male; D008875:Middle Aged; D009333:Neck / Q000601:surgery; D013524:Surgical Flaps; D013897:Thoracic Duct / Q000293:injuries* / Q000601:surgery; D020775:Thoracic Surgery, Video-Assisted / Q000009:adverse effects*