Management of chylous fistula after neck dissection using negative-pressure wound therapy: A preliminary report

Hideki Kadota, Yasunori Kakiuchi, Takamasa Yoshida

Research output: Contribution to journalArticle

15 Citations (Scopus)

Abstract

Chylous fistula is a distressing complication resulting from thoracic duct injury during neck dissections. We have successfully managed chylous fistula using negative-pressure wound therapy (NPWT) in a case where all conservative treatments failed. A 60-year-old man with tongue cancer underwent subtotal glossectomy and bilateral neck dissections. On postoperative day 4, a chylous fistula with large drainage developed in the right neck. Conservative treatments were not effective, therefore, NPWT was started from postoperative day 9. The drainage volume then began to decrease, and the chylous fistula was closed 6 days after starting NPWT. In our case, the effects of wound shrinkage and fluid removal by NPWT were considered to contribute to early closure. Although preliminary, NPWT can be an important treatment choice for the management of a chylous fistula after neck dissections.

Original languageEnglish
Pages (from-to)997-999
Number of pages3
JournalLaryngoscope
Volume122
Issue number5
DOIs
Publication statusPublished - May 1 2012

Fingerprint

Negative-Pressure Wound Therapy
Neck Dissection
Fistula
Drainage
Glossectomy
Tongue Neoplasms
Thoracic Duct
Thoracic Injuries
Neck
Wounds and Injuries

All Science Journal Classification (ASJC) codes

  • Otorhinolaryngology

Cite this

Management of chylous fistula after neck dissection using negative-pressure wound therapy : A preliminary report. / Kadota, Hideki; Kakiuchi, Yasunori; Yoshida, Takamasa.

In: Laryngoscope, Vol. 122, No. 5, 01.05.2012, p. 997-999.

Research output: Contribution to journalArticle

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