JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY)

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High negative pressure drainage for chylous fistula after neck dissection

HUANG Yong-jiu1，BAO Xue-li1， KONG Xu-hui1，WU Jiang1， MAO Ming-rong1，CHU Jiu-sheng1， WANG Yu1，DONG Pin2   

  1. 1. Department of Otolaryngology, Taizhou People′s Hospital, Taizhou 225300, Jiangsu;2. Department of Otolaryngology, Shanghai First People′s Hospital, Shanghai 200080
  • Received:1900-01-01 Revised:1900-01-01 Published:2007-04-24
  • Contact: HUANG Yong-jiu

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Abstract: Objective: To investigate the therapeutic effect of high negative pressure drainage for chylous fistula after neck dissection. Methods: A total of 245 cases were subjected to neck dissection. Among them, 4 cases produced chylous fistula. Then they were subjected to high negative pressure drainage and local pressure dressing. The maximal production of chylous fistula was about 600 ml/d. Results: The occurrence rate of chylous fistula after neck dissection was 1. 63 %(4/245). After high negative pressure drainage and local pressure dressing, all were cured in two weeks. Conclusion: Early diagnosis and high negative pressure drainage and local pressure dressing for chylous fistula is effective and safe .

Key words: Head and neck neoplasms, Neck dissection, Chylous fistula, Complications

CLC Number: 

  • R760
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