Management of Chyle Leak after Head and Neck Surgery: Review of Current Treatment Strategies

Chyle leak formation is an uncommon but serious sequela of head and neck surgery when the thoracic duct is inadvertently injured, particularly with the resection of malignancy low in the neck. The thoracic duct is the primary structure that returns lymph and chyle from the entire left and right lowe...

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Main Authors: Sean W. Delaney, Haoran Shi, Alireza Shokrani, Uttam K. Sinha
Format: Article
Language:English
Published: Hindawi Limited 2017-01-01
Series:International Journal of Otolaryngology
Online Access:http://dx.doi.org/10.1155/2017/8362874
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spelling doaj-b4b0fcace97d4368a97c9eab692231622020-11-24T22:25:45ZengHindawi LimitedInternational Journal of Otolaryngology1687-92011687-921X2017-01-01201710.1155/2017/83628748362874Management of Chyle Leak after Head and Neck Surgery: Review of Current Treatment StrategiesSean W. Delaney0Haoran Shi1Alireza Shokrani2Uttam K. Sinha3Department of Otolaryngology Head and Neck Surgery, Keck School of Medicine, University of Southern California, 1540 Alcazar St, Suite 204Q, Los Angeles, CA 90033, USADepartment of Biochemistry and Molecular Biology, University of Southern California, Los Angeles, CA, USADepartment of Otolaryngology Head and Neck Surgery, Keck School of Medicine, University of Southern California, 1540 Alcazar St, Suite 204Q, Los Angeles, CA 90033, USADepartment of Otolaryngology Head and Neck Surgery, Keck School of Medicine, University of Southern California, 1540 Alcazar St, Suite 204Q, Los Angeles, CA 90033, USAChyle leak formation is an uncommon but serious sequela of head and neck surgery when the thoracic duct is inadvertently injured, particularly with the resection of malignancy low in the neck. The thoracic duct is the primary structure that returns lymph and chyle from the entire left and right lower half of the body. Chyle extravasation can result in delayed wound healing, dehydration, malnutrition, electrolyte disturbances, and immunosuppression. Prompt identification and treatment of a chyle leak are essential for optimal surgical outcome. In this article we will review the current treatment options for iatrogenic cervical chyle leaks.http://dx.doi.org/10.1155/2017/8362874
collection DOAJ
language English
format Article
sources DOAJ
author Sean W. Delaney
Haoran Shi
Alireza Shokrani
Uttam K. Sinha
spellingShingle Sean W. Delaney
Haoran Shi
Alireza Shokrani
Uttam K. Sinha
Management of Chyle Leak after Head and Neck Surgery: Review of Current Treatment Strategies
International Journal of Otolaryngology
author_facet Sean W. Delaney
Haoran Shi
Alireza Shokrani
Uttam K. Sinha
author_sort Sean W. Delaney
title Management of Chyle Leak after Head and Neck Surgery: Review of Current Treatment Strategies
title_short Management of Chyle Leak after Head and Neck Surgery: Review of Current Treatment Strategies
title_full Management of Chyle Leak after Head and Neck Surgery: Review of Current Treatment Strategies
title_fullStr Management of Chyle Leak after Head and Neck Surgery: Review of Current Treatment Strategies
title_full_unstemmed Management of Chyle Leak after Head and Neck Surgery: Review of Current Treatment Strategies
title_sort management of chyle leak after head and neck surgery: review of current treatment strategies
publisher Hindawi Limited
series International Journal of Otolaryngology
issn 1687-9201
1687-921X
publishDate 2017-01-01
description Chyle leak formation is an uncommon but serious sequela of head and neck surgery when the thoracic duct is inadvertently injured, particularly with the resection of malignancy low in the neck. The thoracic duct is the primary structure that returns lymph and chyle from the entire left and right lower half of the body. Chyle extravasation can result in delayed wound healing, dehydration, malnutrition, electrolyte disturbances, and immunosuppression. Prompt identification and treatment of a chyle leak are essential for optimal surgical outcome. In this article we will review the current treatment options for iatrogenic cervical chyle leaks.
url http://dx.doi.org/10.1155/2017/8362874
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