Review article
https://doi.org/10.20471/acc.2022.61.s4.11
Management of Chyle Leak Following Head and Neck Surgery: Review of Current Treatment Strategies and Algorithmic Approach to Treatment
Dinko Leović
; Zagreb University Hospital Centre, Department of Otorhinolaryngology and Head and Neck Surgery, Zagreb, Croatia; Josip Juraj Strossmayer University of Osijek, School od Dental Medicine and Health, Osijek, Croatia
Marija Pastorčić Grgić
; Zagreb University Hospital Centre, Department of Otorhinolaryngology and Head and Neck Surgery, Zagreb, Croatia
Ika Gugić Radojković
; Zagreb University Hospital Centre, Department of Otorhinolaryngology and Head and Neck Surgery, Zagreb, Croatia
Igor Blivajs
; Zagreb University Hospital Centre, Department of Otorhinolaryngology and Head and Neck Surgery, Zagreb, Croatia
Lovro Matoc
; Zagreb University Hospital Centre, Department of Otorhinolaryngology and Head and Neck Surgery, Zagreb, Croatia
Krešimir Gršić
; Zagreb University Hospital Centre, Department of Otorhinolaryngology and Head and Neck Surgery, Zagreb, Croatia
Abstract
Postoperative chyle leak is a rare but serious complication of head and neck surgery.
Chyle leak can lead to a systemic metabolic imbalance, a prolonged wound healing and longer
hospital stay. Early identification and treatment are crucial for good surgical outcome. The diagnosis
can be made intraoperatively or in the early postoperative period. Various treatment options described
in the literature can be divided into conservative and surgical modalities. Currently, there is no evidence
that any approach is superior to the other due to relatively small number of studies describing
chyle leak management. There are no official guidelines for the treatment of postoperative chyle leak.
The aim of this article is to present the therapeutic possibilities and to offer an algorithm for chyle
leak management.
Keywords
Chyle; Neck dissection; Thoracic duct; Algorithm
Hrčak ID:
292397
URI
Publication date:
31.10.2022.
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