Management of Chyle Leak after Head and Neck Surgery: Review of Current Treatment Strategies
Identifieur interne : 000395 ( Main/Exploration ); précédent : 000394; suivant : 000396Management of Chyle Leak after Head and Neck Surgery: Review of Current Treatment Strategies
Auteurs : Sean W. Delaney [États-Unis] ; Haoran Shi [États-Unis] ; Alireza Shokrani [États-Unis] ; Uttam K. Sinha [États-Unis]Source :
- International Journal of Otolaryngology [ 1687-9201 ] ; 2017.
Abstract
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:
DOI: 10.1155/2017/8362874
PubMed: 28203252
PubMed Central: 5288539
Affiliations:
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Delaney</name><affiliation wicri:level="4"><nlm:aff id="I1">Department of Otolaryngology Head and Neck Surgery, Keck School of Medicine, University of Southern California, 1540 Alcazar St, Suite 204Q, Los Angeles, CA 90033, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Otolaryngology Head and Neck Surgery, Keck School of Medicine, University of Southern California, 1540 Alcazar St, Suite 204Q, Los Angeles, CA 90033</wicri:regionArea><orgName type="university">Université de Californie du Sud</orgName><placeName><settlement type="city">Los Angeles</settlement><region type="state">Californie</region></placeName></affiliation></author><author><name sortKey="Shi, Haoran" sort="Shi, Haoran" uniqKey="Shi H" first="Haoran" last="Shi">Haoran Shi</name><affiliation wicri:level="4"><nlm:aff id="I2">Department of Biochemistry and Molecular Biology, University of Southern California, Los Angeles, CA, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Biochemistry and Molecular Biology, University of Southern California, Los Angeles, CA</wicri:regionArea><orgName type="university">Université de Californie du Sud</orgName><placeName><settlement type="city">Los Angeles</settlement><region type="state">Californie</region></placeName></affiliation></author><author><name sortKey="Shokrani, Alireza" sort="Shokrani, Alireza" uniqKey="Shokrani A" first="Alireza" last="Shokrani">Alireza Shokrani</name><affiliation wicri:level="4"><nlm:aff id="I1">Department of Otolaryngology Head and Neck Surgery, Keck School of Medicine, University of Southern California, 1540 Alcazar St, Suite 204Q, Los Angeles, CA 90033, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Otolaryngology Head and Neck Surgery, Keck School of Medicine, University of Southern California, 1540 Alcazar St, Suite 204Q, Los Angeles, CA 90033</wicri:regionArea><orgName type="university">Université de Californie du Sud</orgName><placeName><settlement type="city">Los Angeles</settlement><region type="state">Californie</region></placeName></affiliation></author><author><name sortKey="Sinha, Uttam K" sort="Sinha, Uttam K" uniqKey="Sinha U" first="Uttam K." last="Sinha">Uttam K. Sinha</name><affiliation wicri:level="4"><nlm:aff id="I1">Department of Otolaryngology Head and Neck Surgery, Keck School of Medicine, University of Southern California, 1540 Alcazar St, Suite 204Q, Los Angeles, CA 90033, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Otolaryngology Head and Neck Surgery, Keck School of Medicine, University of Southern California, 1540 Alcazar St, Suite 204Q, Los Angeles, CA 90033</wicri:regionArea><orgName type="university">Université de Californie du Sud</orgName><placeName><settlement type="city">Los Angeles</settlement><region type="state">Californie</region></placeName></affiliation></author></analytic><series><title level="j">International Journal of Otolaryngology</title><idno type="ISSN">1687-9201</idno><idno type="eISSN">1687-921X</idno><imprint><date when="2017">2017</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p>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. </p></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Lee, Y S" uniqKey="Lee Y">Y. S. Lee</name></author><author><name sortKey="Kim, B W" uniqKey="Kim B">B.-W. Kim</name></author><author><name sortKey="Chang, H S" uniqKey="Chang H">H.-S. Chang</name></author><author><name sortKey="Park, C S" uniqKey="Park C">C. S. Park</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Lorenz, K" uniqKey="Lorenz K">K. 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Delaney</name></region><name sortKey="Shi, Haoran" sort="Shi, Haoran" uniqKey="Shi H" first="Haoran" last="Shi">Haoran Shi</name><name sortKey="Shokrani, Alireza" sort="Shokrani, Alireza" uniqKey="Shokrani A" first="Alireza" last="Shokrani">Alireza Shokrani</name><name sortKey="Sinha, Uttam K" sort="Sinha, Uttam K" uniqKey="Sinha U" first="Uttam K." last="Sinha">Uttam K. Sinha</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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