scholarly journals Management of Chyle Leak after Head and Neck Surgery: Review of Current Treatment Strategies

2017 ◽  
Vol 2017 ◽  
pp. 1-12 ◽  
Author(s):  
Sean W. Delaney ◽  
Haoran Shi ◽  
Alireza Shokrani ◽  
Uttam K. Sinha
Keyword(s):  
Head And Neck ◽  
Thoracic Duct ◽  
Treatment Options ◽  
Treatment Strategies ◽  
Neck Surgery ◽  
Current Treatment ◽  
The Body ◽  
Head And Neck Surgery ◽  
Chyle Leak ◽  
Electrolyte Disturbances

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.

scholarly journals Post-thyroidectomy hypocalcemia exacerbated by chyle leak

2015 ◽  
Vol 2015 ◽  
Author(s):  
Naweed Alzaman ◽  
Anastassios G Pittas ◽  
Miriam O'Leary ◽  
Lisa Ceglia
Keyword(s):  
Total Thyroidectomy ◽  
Thoracic Duct ◽  
Treatment Options ◽  
Oral Intake ◽  
Neck Surgery ◽  
List Type ◽  
Chyle Leak ◽  
Thoracic Duct Injury ◽  
Extensive Lymph Node ◽  
Learning Points

Summary Transient hypocalcemia after thyroidectomy is not uncommon and the risk increases with the extent of neck surgery. We report a case of severe and prolonged hypocalcemia after total thyroidectomy complicated by thoracic duct injury. Hypoparathyroidism and thoracic duct injury are potential complications following total thyroidectomy with extensive lymph node dissection. This case suggested that having both conditions may complicate treatment of hypoparathyroid-induced hypocalcemia by way of losses of calcium and vitamin D in the chyle leak. Learning points This report highlights chyle leak as an uncommon cause of prolonged hypocalcemia in patients who have undergone extensive neck surgery. Chyle has an electrolyte concentration similar to that of plasma. Medical treatment options for a chyle leak include fat-free oral diet or parenteral nutrition without oral intake, pharmacological treatment (primarily octreotide).

Application of the Laser in the Head and Neck Surgery

1987 ◽  
Vol 7 (3) ◽  
pp. 173-174
Author(s):  
Issei Ichimiya ◽  
Yuichi Kurono ◽  
Goro Mogi
Keyword(s):  
Head And Neck ◽  
Neck Surgery ◽  
Head And Neck Surgery
Sign in / Sign up

Export Citation Format

Share Document