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Postoperative chylous fistula prevention and management
Author(s) -
Crumley Roger L.,
Smith James D.
Publication year - 1976
Publication title -
the laryngoscope
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.181
H-Index - 148
eISSN - 1531-4995
pISSN - 0023-852X
DOI - 10.1288/00005537-197606000-00008
Subject(s) - medicine , fistula , surgery , chyle , complication , conservative management , general surgery
Postoperative chylous fistulas occur as a complication in 1–2 percent of all radical neck dissections. Twelve cases are reviewed herein. Chylous fistulas are more common with left neck dissections, but 25 percent occurred on the right side in this series. An intraoperative chylous fistula was recognized and treated in 75 percent of the cases which later developed a postoperative fistula. Postoperative fistulas may be divided into two groups: minor fistulas may be treated with pressure dressings and repeated aspirations; fistulas which do not respond to conservative management should be re‐explored early and the fistula ligated.