title: Novel Management of Intractable Cervical Chylous Fistula with Local Application of Pseudomonas aeruginosa Injection.
abstract: OBJECTIVE
  Cervical chylous fistula is an uncommon complication after neck dissection, but it might lead to some serious clinical outcomes. Although most cervical chylous fistulas can heal in a few days with standard treatments, some can be intractable. In this study, we describe a new method with local application of Pseudomonas aeruginosa injection for intractable cervical chylous fistula.
  
  
  METHODS
  Case series with chart review.
  
  
  METHODS
  West China Hospital, Sichuan University, Chengdu, China.
  
  
  METHODS
  The charts of 18 patients who were treated with P aeruginosa injection (PAI) for intractable cervical chylous fistula were retrospectively reviewed.
  
  
  RESULTS
  All patients were successfully treated with PAI. Mild fever (temperature, <38°C) occurred in 9 patients, moderate fever (38°C-39°C) in 4 patients, and severe fever (>39°C) in 5 patients. All patients had mild to severe neck pain.
  
  
  CONCLUSIONS
  Local application of PAI is an effective method for the treatment of intractable cervical chylous fistula, of which the most common side effects are transient fever and local pain.
authors.affiliation: Department of Thyroid & Breast Surgery, West China Hospital, Sichuan University, Chengdu, Sichuan, China.
authors.forename: Tao
authors.initials: T
authors.lastname: Wei
authors.affiliation: Department of Thyroid & Breast Surgery, West China Hospital, Sichuan University, Chengdu, Sichuan, China.
authors.forename: Feng
authors.initials: F
authors.lastname: Liu
authors.affiliation: Department of Thyroid & Breast Surgery, West China Hospital, Sichuan University, Chengdu, Sichuan, China.
authors.forename: Zhihui
authors.initials: Z
authors.lastname: Li
authors.affiliation: Department of Thyroid & Breast Surgery, West China Hospital, Sichuan University, Chengdu, Sichuan, China.
authors.forename: Yanping
authors.initials: Y
authors.lastname: Gong
authors.affiliation: Department of Thyroid & Breast Surgery, West China Hospital, Sichuan University, Chengdu, Sichuan, China zjq-wkys@163.com.
authors.forename: Jingqiang
authors.initials: J
authors.lastname: Zhu
mesh_terms: D000328:Adult; D000368:Aged; D002913:Chyle; D005260:Female; D005402:Fistula / Q000628:therapy*; D006801:Humans; D007267:Injections; D008297:Male; D008875:Middle Aged; D009333:Neck; D011550:Pseudomonas aeruginosa; D012189:Retrospective Studies
keywords: Pseudomonas aeruginosa injection; chyle; fistula; neck dissection; thyroid carcinoma