Abstract

RAMOS ZAYAS, Ana; MERINO DOMINGO, Francisco; ZUBILLAGA RODRIGUEZ, Ignacio  and  SANCHEZ ANICETO, Gregorio. Cervical chyle leak: complications and management. Rev Esp Cirug Oral y Maxilofac [online]. 2020, vol.42, n.1, pp.25-28.  Epub May 04, 2020. ISSN 2173-9161.  https://dx.doi.org/10.20986/recom.2020.1057/2019.

Chyle leak formation is produced by iatrogenic damage to the thoracic duct in head and neck surgeries. Given the suspicion of a cervical chyle leak, nutritional management and close follow-up should be initiated quickly, since they can have serious consequences such as immunosuppression, metabolic compromise and skin necrosis with exposure or even carotid rupture. We report the case of a patient with cervical chyle leak that required surgical reexploration to reach the chyle leak closure.

Keywords : Head and neck chylous fistula; neck dissection; thoracic duct; mediumchain triglycerides (MCT); somatostatin analog.

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