Abstract
#Lymphatic fistula is one of the possible complication of neck
dissection and may be very challenging to manage because of the
anatomical complexities such as proximity to major vessels and
variations. An untreated chyle fistula is a potentially dangerous
condition: if not promptly identified and appropriately treated it could
carry potentially to serious consequences as #hypovolemia, hyponatremia,
hypochloremia, #hypoproteinemia and lymphopenia. Despite technological
advances and new approaches described in the recent literature, there is
still no clear treatment algorithm for this complication. Functional
repair of the lymphatic duct injury should be the preferred solution,
rather than an approach that obliterates the thoracic duct or #chylous pathways, as this can have unwanted consequences such as redistribution
of flow to produce distal complications. In chyle fistula following neck
dissection for squamous tongue carcinoma, in case of impossibility of
surgical approach due to patient general condition , fistula was
successfully treated conservatively: TPN , #octreotide continuous
intravenous infusion associated to empiric procedure of #sclerosant treatment through by washing of atossisclerol solution.
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Neck Dissection Complications: Chylous Fistula and a New Conservative Management by Raffaele Rauso in BJSTR
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