Chyle Leak in Head and Neck Cancer Surgeries - A review
Sailesh Kumar R1*, Raja Sethupathy Cheeman1, Raghu K2, Bharathraj K1, Rohan Singh chadha3.
1Assistant Professor, Indira Gandhi Institute of Dental Sciences, Department of
Oral and Maxillofacial Surgery, Sri Balaji Vidyapeeth ( Deemed to be university)Puducherry, India
2Assistant Professor, Indira Gandhi Institute of Dental Sciences, Department of
Oral and Maxillofacial Surgery, Sri Balaji Vidyapeeth ( Deemed to be university)Puducherry, India
3Post graduate trainee, Indira Gandhi Institute of Dental Sciences, Department of
Oral and Maxillofacial Surgery, Sri Balaji Vidyapeeth ( Deemed to be university)
Puducherry, India
*Corresponding Author: Sailesh Kumar R, Assistant Professor, Indira Gandhi
Institute of Dental Sciences, Department of Oral and Maxillofacial Surgery, Sri Balaji Vidyapeeth ( Deemed to be university) Puducherry, India.
Received: January 10 ,2022; Published: February 11, 2022
Abstract
Background: This article projects provides insights to the various managements and treatment strategies for chylous leak during the head and neck cancer surgeries.
Methods: Here the retrospective review of articles was performed, the articles reviewed are involving only head and neck cancer surgeries only and analysis of treatment strategies were noted and author’s comments about the treatment strategies is given after collective analysis of the review articles
Conclusion: The evolution of treatment strategies through years has brought on to the ideal management of the of chyle leak based on various authors guidelines.
Keywords: Chyle; Chylothorax; Head and Neck Cancer Surgery; Neck Dissection; Chyle Fistula
References
- Morris SA and Taylor SJ. “Peripheral parenteral nutrition in a case of chyle leak following neck dissection”. Journal of Human Nutrition and Dietetics 17 (2004): 153-155.
- , et al. “Management of chylous leakage following neck dissection - cases report”. Journal of Dental Sciences 3.1 (2008).
- Vallieres E., et al. “Early complications Chylothorax”. Chest Surgery Clinics of North America 9 (1999): 609-616.
- Teba L., et al. “Chylothorax review”. Critical Care Medicine13 (1985): 49-52.
- , et al. “Postoperative chylothorax”. Thoracic Surgery Clinics 25 (2015): 523-528.
- Chalret du Rieu M., et al. “Management of postoperative chylothorax”. Journal of Visceral Surgery 148 (2011): e346-352.
- Riquet M., et al. “Traitment du chylothorax”. EMC-Chirurgie 6 (2004): 662-681.
- Selle JG., et al. “Chylothorax: indications for surgery”. Annals of Surgery 177 (1973): 245-249.
- HenriIˆtte HW., et al. “Systematic approach to the treatment of chylous leakage after neck dissection”. Head Neck 18.4 (1996): 347e
- Lucente FE., et al. “Chyle fistula management”. Otolaryngology-Head and Neck Surgery 89.4 (1981): 575e
- Nussenbaum B., et al. “Systematic management of chyle fistula: the southwestern experience and review of the literature”. Otolaryngology-Head and Neck Surgery 122.1 (2000): 31e
- Fitz-Hugh GS and Cowgill R. “Chylous fistula”. Archives of Otolaryngology 91.6 (1907): 543e
- Qureshi SS and Chaturvedi P. “A novel technique of management of high output chyle leak after neck dissection”. Journal of Surgical Oncology 96.2 (2007): 176e
- Gregor RT. “Management of chyle fistulization in association with neck dissection”. Otolaryngology-Head and Neck Surgery 122.3 (2000): 434e
- Crumley RL and Smith JD. “Postoperative chylous fistula prevention and management”. Laryngoscope 86.6 (1976): 804e
- Jeffrey D., et al. “The management of chyle fistula”. Laryngoscope 100.7 (1990): 771e
- Martin IC., et al. “Medium chain triglycerides in the management of chylous fistulae following neck dissection”. British Journal of Oral and Maxillofacial Surgery 31.4 (1993): 236e
- Al-Khayat M., et al. “Nutritional support in patients with low volume chylous fistula following radical neck dissection”. The Journal of Laryngology and Otology 105.12 (1991): 1052e
- McGee DC and Gould MK. “Preventing complications of central venous catheterization”. The New England Journal of Medicine 348.12 (2003): 1123e
- Knochel JP. “Complications of total parenteral nutrition”. Kidney International 27.3 (1985): 489e
- Angelico M and Guardia PD. “Review article: hepatobiliary complications associated with total parenteral nutrition”. Alimentary Pharmacology and Therapeutics 14 (2000): 54e
- Rimensberger PC., et al. “Treatment of a persistent postoperative chylothorax with somatostatin”. The Annals of Thoracic Surgery 66.1 (1998): 253e
- Valentine CN., et al. “Somatostatin analog treatment of a cervical thoracic duct fistula”. Head Neck 24.8 (2002): 810e
- Nyquist GG., et al. “Octreotide in the medical management of chyle fistula”. Otolaryngology-Head and Neck Surgery 128.6 (2003): 910e
- Belloso A., et al. “The community management of chylous fistula using a pancreatic lipase inhibitor (orlistat)”. Laryngoscope 116.10 (2006): 1934e
- Stuart WJ. “Operative injuries of the thoracic duct in the neck”. Edinburgh Medical Journal 22 (1907): 301e
- Cope C. “Diagnosis and treatment of postoperative chyle leakage via percutaneous transabdominal catheterization of the cisterna chyli: a preliminary study”. Journal of Vascular and Interventional Radiology 9.5 (1998): 727e
- Cope C. “Management of chylothorax via percutaneous embolization”. Current Opinion in Pulmonary Medicine 10.4 (2004): 311e
- van Goor AT., et al. “Introduction of lymphangiography and percutaneous embolization of the thoracic duct in a stepwise approach to the management of chylous fistulas”. Head Neck 29.11 (2007): 1017e
- Lapp GC., et al. “Thoracoscopic management of chylous fistulae”. American Journal of Otolaryngology 1998;19.4 (1998): 257e
- Van Natta TL., et al. “Thoracoscopic thoracic duct ligation for persistent cervical chyle leak: utility of immediate pathologic confirmation”. JSLS 13.3 (2009): 430e
- Abdel-Galil K., et al. “High output chyle leak after neck surgery: the role of video-assisted thoracoscopic surgery”. British Journal of Oral and Maxillofacial Surgery 47.6 (2009): 478e
- Rocco G. Chylothorax. In: “Sabiston DC, Spencer EC, editors. Surgery of the chest. 8th edition. Philadelphia: WB Saunders (2010): 427-430.
- Thompson KJ., et al. “Treatment of chylothorax by robotic thoracic duct ligation”. The Annals of Thoracic Surgery 85 (2008): 334-336.
- Kent RB 3rd and Pinson TW. “Thoracoscopic ligation of the thoracic duct”. Surgical Endoscopy 7 (1993): 52-53.
- Mason PF., et al. “Post-thoracotomy chylothorax - a cure in the abdomen?” European Journal of Cardio-Thoracic Surgery 11 (1997): 567-1570.
- Dietl B., et al. “Radiotherapy of inguinal lymphorrhea after vascular surgery. A retrospective analysis”. Strahlentherapie und Onkologie 181 (2005): 396-400.
- Gerstein J., et al. “Complete remission of a lymphoma-associated chylothorax by radiotherapy of the celiac trunk and thoracic duct”. Strahlentherapie und Onkologie 2008;184 (2008): 484-487.
- Sziklavari Z., et al. “Radiotherapy in the treatment of postoperative chylothorax”. Journal of Cardiothoracic Surgery 8 (2013):
- Andrei Ilczyszyn., et al. “Management of chyle leak post neck dissection: A case report and literature review”. Journal of Plastic, Reconstructive and Aesthetic Surgery 64 (2011): e223ee230.
Citation
Copyright