Chylous Fistulas


Authors: D. Kovář ;  Z. Voldřich
Authors‘ workplace: Otorinolaryngologické oddělení, Ústřední vojenská nemocnice Praha primář plk. MUDr. M. Navara, Ph. D.
Published in: Otorinolaryng. a Foniat. /Prague/, 56, 2007, No. 1, pp. 31-34.
Category: Original Papers

Overview

Chylous fistulas belong to complications of cervical block dissections or operations of injuries in supraclavicular region. Its occurrence is between 1 and 4% and is situated mostly on the left. The leakage of lymph is a great load for the patient leading even to disorders of metabolic balance. We have been dealing with six cases of chylous fistulas, two of them on the right side, at our workplace in the years 1990 – 2005. In one patient a conservative treatment was applied, in four patients surgical revisions were made and in one female patient it proved impossible to use any intervention for an extremely rapid course of the disease.

Dietary measures are always necessary in the first detection of chylous fistula as well as after a surgical treatment. The operation revision or the time period it is applied is dependent on the extent of the outflow and the time period of duration of conservative treatment.

Key words:
chylous fistula, thoracic duct, the right lymphatic duct, blocking cervical dissection.


Sources

1. Cabra Duenas, J., Monux Martinez, A., de Diego Sastre, J. I., Gavilas Bouzas, J.: Postoperative complications in patiens with functional neck dissection. Acta Otorrinolaringol. Esp., 45, 1994, č. 6, s. 447-449.

2. Carcoforo, P., Soliani, G., Maestroni, U., Donini, A., Inderbitzin, D., Hui, T. T., Lefor, A., Avital, I., Navarra, G.: Octrotide in the treatment of lymphorrhea after axillary node dissection: a prospective randomized controlled trial. J. Am. Coll. Surg., 196, 2003, č. 3, s. 365-369.

3. Čihák, R.: Anatomie 3. Avicenum, Grada, 1997, s. 170-202.

4. de Gier, H. H., Balm, A. J., Bruning, P. F., Gregor, R. T., Hilgers, F. J.: Systematic approach to the treatment of chylous leakage after neck dissection. Head Neck, 18, 1996, č. 4, s. 347-351.

5. Gregor, R. T.: Management of chyle fistulization in association with neck disection. Otolaryngol. Head Neck Surg., 122, 2000, č. 3, s. 434-439.

6. Har-El, G., Lucente, F. E.: Lymphatic drainage system after left radical neck dissection. Ann. Otol. Rhinol. Laryngol., 103, 1994, č. 1, s. 46-48.

7. Koda, H., Gotsu, K., Sugimoto, T., Ishikawa, N., Kishimoto, S.: Minocycline sclerotherapy for lymphorhea following neck dissection. Nippon Jibiinkoka Gakkai Kaiho, 106, 2003, č. 2, s. 160-163.

8. Metson, R., Alessi, D., Calcaterra, T. C.: Tetracycline sclerotherapy for chylous fistula following neck dissection. Arch. Otolaryng. Head Neck Surg., 112, 1986, č. 6, s. 651-653.

9. Nowaczyk, M. T.: Lymphorrhea after neck dissection. Otolaryngol. Pol., 53, 1999, č. 3, s. 271-273.

10. Nussenbaum, B., Liu, J. H., Sinard, R. J.: Systematic management of chyle fistula: the Southwestern experience and review of the literature. Otolaryngol. Head and Neck Surg., 122, 2000, č. 1, s. 31-38.

11. Pelizzo, M. R., Toniato, A., Piotto, A., Bernante, P.: Somatostatin in the treatment of lymphorhea after lateral neck dissection. Minerva Chir., 47, 1992, č. 18, s. 1485-1487.

12. Trojan, S. a kolektiv: Lékařská fyziologie. Avicenum, Grada, 2003, s. 261-262.

13. Valentine, C. N., Barresi, R., Prinz, R. A.: Somatostatin analog treatment of a cervical thoracic duct fistula. Head Neck, 24, 2002, č. 8, s. 810-813.

Labels
Audiology Paediatric ENT ENT (Otorhinolaryngology)
Login
Forgotten password

Don‘t have an account?  Create new account

Forgotten password

Enter the email address that you registered with. We will send you instructions on how to set a new password.

Login

Don‘t have an account?  Create new account