Pseudomonas aeruginosa ‐mannose sensitive hemagglutinin injection therapy for the treatment of chyle fistula following neck dissection

Head & Neck ◽  
2020 ◽  
Vol 42 (4) ◽  
pp. 725-731
Author(s):  
Qiang Chen ◽  
Xiuhe Zou ◽  
Yu Ma ◽  
Feng Liu ◽  
Tao Wei ◽  
...  
Keyword(s):  
Pseudomonas Aeruginosa ◽  
Neck Dissection ◽  
Injection Therapy ◽  
Chyle Fistula

Early diagnosis of chyle fistula with SD LipidoCare after neck dissection

2021 ◽  
pp. 1-4
Author(s):  
D H Lee ◽  
H K Kim ◽  
J K Lee ◽  
S C Lim
Keyword(s):  
Conservative Treatment ◽  
Early Diagnosis ◽  
Neck Dissection ◽  
Medical Records ◽  
Test System ◽  
Chyle Fistula

Abstract Objective This study aimed to analyse the results of chyle fistula testing using the SD LipidoCare system in patients who had undergone neck dissections performed in our hospital in 2019. Method Sixty patients who underwent neck dissections from March 2019 to November 2019 were identified based on their medical records. Results Post-operative chyle fistulas were observed in 3 of 60 patients (5 per cent). All patients who developed chyle fistulas had undergone left-sided neck dissections. Within 3 minutes, the SD LipidoCare test had produced triglyceride results of 49, 56 and 207 mg/dl in the three patients. The remaining 57 patients measured ‘low’ for triglycerides on the SD LipidoCare test system. Conclusion The SD LipidoCare test quickly and accurately diagnosed chyle fistulas in patients who had undergone neck dissections. All patients improved with conservative treatment following the early diagnosis of chyle fistulas.

scholarly journals Use of Octreotide for the Management of Chyle Fistula Following Neck Dissection

2015 ◽  
Vol 141 (8) ◽  
pp. 723 ◽  
Author(s):  
Mark S. Swanson ◽  
Rachael L. Hudson ◽  
Nipun Bhandari ◽  
Uttam K. Sinha ◽  
Dennis R. Maceri ◽  
...  
Keyword(s):  
Neck Dissection ◽  
Chyle Fistula

Negative-Pressure Vacuum Therapy for High-Output Chyle Leak Following Neck Dissection

2020 ◽  
Vol 15 (5) ◽  
pp. 481-483
Author(s):  
Guy Pines ◽  
Liron Malka Yosef ◽  
Li Or Lazar ◽  
Ilan Bar ◽  
Doron Schindel
Keyword(s):  
Effective Treatment ◽  
Neck Dissection ◽  
Negative Pressure ◽  
Vacuum Therapy ◽  
High Morbidity ◽  
Chyle Leak ◽  
Surgical Interventions ◽  
Vac Therapy ◽  
Chyle Fistula ◽  
High Output

Chyle fistula is a challenging complication following neck dissection carrying a high morbidity and mortality rate. Herein we present a challenging case of successful management of high-output left-sided cervical chyle fistula with negative-pressure vacuum (VAC) therapy in a case where all conservative treatments failed. A 40-year-old man with lymphoma and supraglottic carcinoma underwent endoscopic resection and bilateral neck dissections. He developed high-output chyle fistula, nonresponsive to conservative treatments. Double-layered Vicryl mesh was placed between the sponge and the jugular vein to prevent vascular injury. Immediately after initiation of the VAC therapy, the output decreased, and completely stopped after 3 days. The VAC therapy was continued for additional 5 days to ensure complete seal of the fistula by granulation tissue, by which time the wound was primarily closed. VAC therapy seems to be a safe and effective treatment for high-output cervical chyle fistula following neck dissection, avoiding complex surgical interventions. Thoracic surgeons should be aware of this low-morbidity and potentially effective treatment modality for this challenging complication.

scholarly journals A case of chyle fistula occurred after neck dissection cured by octreotide

2015 ◽  
Vol 25 (1) ◽  
pp. 61-65
Author(s):  
Masakazu Ikeda ◽  
Takashi Matsuzuka ◽  
Masahiro Suzuki ◽  
Satoshi Saijoh ◽  
Yuta Nakaegawa ◽  
...  
Keyword(s):  
Neck Dissection ◽  
Chyle Fistula

Recurrent High Output Chyle Fistula Post Neck Dissection Resolution with Conservative Management

2010 ◽  
Vol 120 (S4) ◽  
pp. S141-S141 ◽  
Author(s):  
Samer Al-khudari ◽  
Lisa Vitale ◽  
Tamer Ghanem ◽  
Scott McLean
Keyword(s):  
Neck Dissection ◽  
Conservative Management ◽  
Chyle Fistula ◽  
High Output
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