British Journal of Oral and Maxillofacial Surgery
Volume 47, Issue 6 , Pages 478-480 , September 2009

High output chyle leak after neck surgery: the role of video-assisted thoracoscopic surgery

  • Khalid Abdel-Galil

      Affiliations

    • Oral & Maxillofacial Surgery, Bradford Teaching Hospitals NHS Foundation Trust, St. Luke's Hospital, Little Horton Way, Bradford, BD5 0NA, UK
    • Corresponding Author InformationCorresponding author. Tel.: +44 1274 542200.
  • ,
  • Richard Milton

      Affiliations

    • Leeds Teaching Hospitals NHS Trust, St. James's University Hospital, Beckett Street, Leeds, LS9 7TF, UK
    • Tel.: +44 113 2433144.
  • ,
  • James McCaul

      Affiliations

    • Oral & Maxillofacial Surgery, Bradford Teaching Hospitals NHS Foundation Trust, St. Luke's Hospital, Little Horton Way, Bradford, BD5 0NA, UK
    • Tel.: +44 1274 542200.

,Accepted 22 April 2009.

References 

  1. Thawley SE. “How I do it”— head and neck. A targeted problem and its solution. Chylous fistula prevention and management. Laryngoscope. 1980;90:522–525
  2. Martin IC, Marinho LH, Brown AE, McRobbie D. Medium chain triglycerides in the management of chylous fistulae following neck dissection. Br J Oral Maxillofac Surg. 1993;31:236–238
  3. Kannan RR, Mahajan V, Ayyappan S. Management of chyle fistulae following surgery in the neck. Indian J Cancer. 2001;38:117–120
  4. Collard JM, Laterre PF, Boemer F, Raynaert M, Ponlot R. Conservative treatment of postsurgical lymphatic leaks with somatostatin-14. Chest. 2000;117:902–905
  5. Seelig MH, Klingler PJ, Oldenburg WA. Treatment of a postoperative cervical chylous lymphocele by percutaneous sclerosing with povidone-iodine. J Vasc Surg. 1998;27:1148–1151
  6. Merante Boschin I, Meduri F, Toniato A, Pagetta C, Casalide E, Rubello D, et al. Linforrea cervicale dopo svuotamento linfonodale: ruolo del digiuno basato sull’evidenza clinica (Cervical lymphorrea after nodal dissection: role of fasting based on clinical evidence). Minerva Chir. 2006;61:57–62
  7. Kent RB, Pinson TW. Thoracoscopic ligation of the thoracic duct. Surg Endosc. 1993;7:52–53
  8. Lapp GC, Brown DH, Gullane PJ, McKneally M. Thoracoscopic management of chylous fistulae. Am J Otolaryngol. 1998;19:257–262
  9. Kumar S, Kumar A, Pawar DK. Thoracoscopic management of thoracic duct injury: is there a place for conservatism?. J Postgrad Med. 2004;50:57–59
  10. Scott KJ, Simko E. Thoracoscopic management of cervical thoracic duct injuries: an alternative approach. Otolaryngol Head Neck Surg. 2003;128:755–757

PII: S0266-4356(09)00159-4

doi: 10.1016/j.bjoms.2009.04.030

British Journal of Oral and Maxillofacial Surgery
Volume 47, Issue 6 , Pages 478-480 , September 2009