| Autor: |
Dhiwakar M; Otolaryngology-Head and Neck Surgery, Comprehensive Cancer Center, Kovai Medical Center and Hospital, Avinashi Road, Coimbatore, 641 014, India, dhiwamahi@yahoo.com., Nambi GI, Ramanikanth TV |
| Jazyk: |
angličtina |
| Zdroj: |
European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery [Eur Arch Otorhinolaryngol] 2014 Mar; Vol. 271 (3), pp. 561-5. Date of Electronic Publication: 2013 May 08. |
| DOI: |
10.1007/s00405-013-2534-9 |
| Abstrakt: |
Chylous fistula following neck dissection is difficult to treat. We hypothesized that timely removal of the suction drain followed by daily aspiration might aid in resolution of the condition. The study model is prospective cohort study. Out of 170 consecutive neck dissections, 7 (4 %) developed chylous fistula postoperatively. Retaining the suction drain was associated with resolution of the fistula in only one case. The remaining six had peak 24 h outputs between 85 and 675 ml that showed no significant fall despite maximal conservative treatment. Suction drain removal followed by daily needle aspiration however led to cessation of the fistula in all six cases. No patient required surgical re-exploration. Drain removal was associated with a significant fall in the volume of chylous output (p = 0.002). In selected cases of low output chylous fistula, suction drain removal and daily needle aspiration is an effective treatment option. |
| Databáze: |
MEDLINE |
| Externí odkaz: |
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