Bilateral chylothorax following left radical neck dissection (Case report)

1988 ◽  
Vol 102 (3) ◽  
pp. 288-290 ◽  
Author(s):  
A. Pace-Balzan ◽  
B. Moriarty
Keyword(s):  
Case Report ◽  
Neck Dissection ◽  
Thoracic Duct ◽  
Single Case ◽  
Rare Complication ◽  
Radical Neck Dissection ◽  
Bilateral Chylothorax ◽  
Number Of Patients

SummaryBilateral chylothorax is a rare complication of radical neck dissection and was first described in 1907. Stuart (1907) reviewed a number of patients with injuries to the thoracic duct in the neck and reported on three patients with bilateral chylothotax, all of whom died. The condition was not reported again until 1951 when the first of the five single case reported published to date appeared. The rarity with with which this complication is reported makes it difficult for clinicians to be familiar with it. A further case is reported and the relevant literture, and certain aspects of the aetiology and management are discussed.

scholarly journals Blindness after laryngectomy and bilateral neck dissection in a diabetic patient: case report

2001 ◽  
Vol 119 (5) ◽  
pp. 181-183 ◽  
Author(s):  
Rui Celso Martins Mamede ◽  
David Livingstone Alves Figueiredo ◽  
Fabrício Villela Mamede
Keyword(s):  
Case Report ◽  
Diabetic Patient ◽  
Neck Dissection ◽  
Total Laryngectomy ◽  
Malignant Tumors ◽  
Rare Complication ◽  
Radical Neck Dissection ◽  
Selective Neck Dissection ◽  
Intraoperative Hypotension ◽  
The Right

CONTEXT: Neck dissection that accompanies resection of the primary lesion in malignant tumors of the upper aerodigestive tracts may cause complications inherent to the procedure or to prolongation of surgical time, increasing the risks for the patient. Among the complications that might occur is blindness, a rare complication with only 10 cases reported in the literature thus far. OBJECTIVE: To present the case of a diabetic patient submitted to total laryngectomy and modified and selective neck dissection that resulted in blindness. CASE REPORT: The authors report on a patient submitted to total laryngectomy and selective neck dissection on the left side, and modified radical neck dissection on the right, who developed blindness. This was probably due to intraoperative hypotension plus the contribution of decompensated diabetes mellitus and thrombosis of the internal jugular vein on the right side. The possible causes, risk factors and care to be taken to prevent this rare but highly debilitating complication are discussed.

scholarly journals Bilateral Chylothorax Following Left Neck Dissection and Literature Review

2021 ◽  
Author(s):  
Sachiko Kimizuka ◽  
Hiroyuki Yamada ◽  
Koji Kawaguchi ◽  
Toshikatsu Horiuchi ◽  
Akira Takeda ◽  
...  
Keyword(s):  
Pleural Effusion ◽  
Neck Dissection ◽  
Thoracic Duct ◽  
Radical Neck Dissection ◽  
Clinical Findings ◽  
Cough Reflex ◽  
Low Fat Diet ◽  
Bilateral Chylothorax ◽  
Left Neck ◽  
Chyle Leakage

Abstract Background: Although chyle leakage may occur in the neck when the thoracic duct is damaged during cervical dissection, it is extremely rare for the chylothorax alone to leak chyle into the thoracic cavity. Case presentation: We report a case of bilateral chylothorax without chyle cervical leakage after left neck dissection, wherein partial left upper jaw resection and left radical neck dissection were performed in a 46-year-old woman who was diagnosed with left upper gingival cancer. The thoracic duct was ligated and cut during surgery and, although no obvious leakage of lymph was observed, dyspnea and cough reflex during deep inhalation were observed from the 3rd postoperative day. Approximately 600 mL of yellowish-white pleural effusion was aspirated during bilateral thoracentesis, and chylothorax was diagnosed based on clinical findings and biochemical analysis results. The patient was put on a low-fat diet on the 4th postoperative day, and a total of 3 neck drains were removed 8 days after the operation. Conclusions: Pleural effusion disappeared on imaging examination 16 days after thoracentesis and 5 years and 6 months have passed since the operation. At this time, there has been no evidence of tumor recurrence, metastasis, or pleural effusion.

scholarly journals Medial clavicle fracture with bone destruction after radical neck dissection combined with postoperative chemotherapy for secondary cervical lymph node metastasis of tongue cancer: a case report

2021 ◽  
Author(s):  
Masayasu Tashiro ◽  
Tomoaki Sano ◽  
Kazutaka Sugiura ◽  
Yasuhito Minamida ◽  
Yoshihiro Abiko ◽  
...  
Keyword(s):  
Case Report ◽  
Lymph Node ◽  
Neck Dissection ◽  
Cervical Lymph Node ◽  
Tongue Cancer ◽  
Rare Complication ◽  
Clavicle Fracture ◽  
Radical Neck Dissection ◽  
Bone Destruction ◽  
The Right

Abstract Background Clavicle fractures (CF) after radical neck dissection (RND) for oral cancer are rare but are thought to occur as a result of myotonia and decreased blood supply to the muscles around the clavicle after RND. The current report presents a rare case of a non-neoplastic pathological CF after RND, and discusses the role of imaging examinations for the timely detection of CF. Case report An 82-year-old Japanese man underwent RND followed by chemotherapy without radiotherapy for secondary metastasis of the right cervical lymph node after resection of tongue cancer. Computed tomography at 6 months after RND revealed a fracture with bone destruction in the proximal end of the right clavicle. He had no history of trauma at the site of the fracture and no symptoms. The possibility of bone metastasis of the clavicle was considered; however, the bone destruction had not advanced 6 years after the discovery of the fracture. The CF was thus finally considered to be a side effect of RND, rather than metastasis. Conclusion CF is a rare complication following treatment for head and neck cancer but can be caused by neck dissection. Regular imaging examinations, including the clavicular region, are therefore needed before and after surgery to ensure the timely detection of CF.

scholarly journals Bilateral Chylothorax Following Left Neck Dissection and Literature Review

2021 ◽  
Author(s):  
Sachiko Kimizuka ◽  
Hiroyuki Yamada ◽  
Koji Kawaguchi ◽  
Toshikatsu Horiuchi ◽  
Akira Takeda ◽  
...  
Keyword(s):  
Pleural Effusion ◽  
Neck Dissection ◽  
Thoracic Duct ◽  
Radical Neck Dissection ◽  
Clinical Findings ◽  
Cough Reflex ◽  
Low Fat Diet ◽  
Bilateral Chylothorax ◽  
Left Neck ◽  
Chyle Leakage

Abstract BackgroundAlthough chyle leakage may occur in the neck when the thoracic duct is damaged during cervical dissection, it is extremely rare for the chylothorax alone to leak chyle into the thoracic cavity. Case presentationWe report a case of bilateral chylothorax without chyle cervical leakage after left neck dissection, wherein partial left upper jaw resection and left radical neck dissection were performed in a 46-year-old woman who was diagnosed with left upper gingival cancer. The thoracic duct was ligated and cut during surgery and, although no obvious leakage of lymph was observed, dyspnea and cough reflex during deep inhalation were observed from the 3rd postoperative day. Approximately 600 mL of yellowish-white pleural effusion was aspirated during bilateral thoracentesis, and chylothorax was diagnosed based on clinical findings and biochemical analysis results. The patient was put on a low-fat diet on the 4th postoperative day, and a total of 3 neck drains were removed 8 days after the operation. ConclusionsPleural effusion disappeared on imaging examination 16 days after thoracentesis and 5 years and 6 months have passed since the operation. At this time, there has been no evidence of tumor recurrence, metastasis, or pleural effusion.

Segmental dystonia after radical neck dissection and radiotherapy: a case report

2020 ◽  
Author(s):  
Francesca Di Biasio ◽  
Ottavia Baldi ◽  
Laura Avanzino ◽  
Roberta Marchese
Keyword(s):  
Case Report ◽  
Neck Dissection ◽  
Radical Neck Dissection ◽  
Segmental Dystonia

Bilateral chylothorax following left-sided radical neck dissection

2006 ◽  
Vol 120 (8) ◽  
pp. 705-707 ◽  
Author(s):  
S Srikumar ◽  
J R Newton ◽  
T A B Westin
Keyword(s):  
Neck Dissection ◽  
Radical Neck Dissection ◽  
Favourable Outcome ◽  
Bilateral Chylothorax ◽  
Life Threatening ◽  
Life Threatening Complication

Chylothorax is an extremely rare but potentially life-threatening complication of radical neck dissection. Its rarity makes surgeons unfamiliar with its management. We report the case of a bilateral chylothorax occurring after a left radical neck dissection and discuss its management. A multi-disciplinary approach is advocated, involving surgical, respiratory and dietetic input, and this led to a favourable outcome for our patient.

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