Bilateral Chylothorax after Left Modified Radical Neck Dissection : Two Cases

좌측 광범위 경부 림프절 청소술 후 발생한 양측 유미흉 2예

  • Shin, Jong-Hyun (Department of Surgery, Yonsei University College of Medicine) ;
  • Lee, Jan-Dee (Department of Surgery, Yonsei University College of Medicine) ;
  • Yun, Ji-Sup (Department of Surgery, Yonsei University College of Medicine) ;
  • Lim, Chi-Young (Department of Surgery, Yonsei University College of Medicine) ;
  • Nam, Kee-Hyun (Department of Surgery, Yonsei University College of Medicine) ;
  • Chung, Woong-Youn (Department of Surgery, Yonsei University College of Medicine) ;
  • Park, Cheong-Soo (Department of Surgery, Yonsei University College of Medicine)
  • 신종현 (연세대학교 의과대학 외과학교실) ;
  • 이잔디 (연세대학교 의과대학 외과학교실) ;
  • 윤지섭 (연세대학교 의과대학 외과학교실) ;
  • 임치영 (연세대학교 의과대학 외과학교실) ;
  • 남기현 (연세대학교 의과대학 외과학교실) ;
  • 정웅윤 (연세대학교 의과대학 외과학교실) ;
  • 박정수 (연세대학교 의과대학 외과학교실)
  • Published : 2006.11.30

Abstract

Bilateral chylothorax as a complication of radical neck dissection is extremely rare. Early diagnosis of chylothorax is important due to the consequences on metabolic & cardiopulmonary conditions. This present report describes our recent experiences with two cases of bilateral chylothorax following left modified radical neck dissection that was treated successfully by conservative management.

Keywords

References

  1. Jose M Busquets, Pedro J Rullian, Juan Trinidad-Pinedo: Bilateral chylothorax after neck dissection. Otolaryngol Head Neck Surg. 2004;130 (4 ):492-495 https://doi.org/10.1016/j.otohns.2003.11.013
  2. Jabbar AS, al-Abdulkareem A: Bilateral chylothorax following neck dissection. Head Neck. 1995;17 (1 ):69-72 https://doi.org/10.1002/hed.2880170115
  3. Stuart WJ: Operative injury of thoracic duct in the neck. Edinburgh Med J. 1907;22:301-306
  4. Postma GN, Keyser JS: Management of persistent chylothorax. Otolaryngol Head Neck Surg. 1997;116:268-270 https://doi.org/10.1016/S0194-5998(97)70340-1
  5. Srikumar S, Newton JR, Westin TA: Bilateral chylothorax following left-sided radical neck dissection. J Laryngol Otol. 2006;120 (8 ):705-707
  6. Har-El G, Lucente FE: Lymphatic drainage system after left radical neck dissection. Ann Otol Rhinol Laryngol. 1994;103 (1 ):46-48
  7. Bessone LN, Ferguson TB, Burford TH: Chylothorax. Ann Thorac Surg. 1971;12:527-50 https://doi.org/10.1016/S0003-4975(10)65800-6
  8. Thomas WS: General thoracic surgery. 3rd ed. New York: Lea & Febiger, 1989:625-645
  9. Kim DS, Park CS, Kim CK: Cervial chylous fistula following radical neck dissection. J Korean Surg Society. 1984;27 (5 ):650-656
  10. IC Martin, LH Marinho, AE Brown, D McRobbie: Medium chaimn triglycerides in the management of chylous fistulae following neck dissection. British J Oral Maxillofac Surg. 1993;31:236-238 https://doi.org/10.1016/0266-4356(93)90146-N
  11. Kamasaki N, Ikeda H, Wang ZL: Bilateral chylothorax following radical neck dissection. Int J oral Maxillofac Surg. 2003;32:91-93 https://doi.org/10.1054/ijom.2002.0312
  12. Spiro JD, Spiro RH, Strong EW: The management of chyle fistula. Laryngoscope. 1990;100:771-774
  13. Thawley SE: 'How I do it'-head and neck; A targeted problem and its solution. Chylous fistula prevention and management. Laryngoscope. 1980;90:522-525 https://doi.org/10.1002/lary.5540900321
  14. GA Velegrakis, Emmanuel P Prokopakis, Chariton E Papadakis, et al: Management of chylous fistula using the fibrin adhesive set. Otolaryngol. 1998;60:230-232
  15. Kebin M Markham, John L Glover, Robert J Welsh, et al: Octreotide in the treatment of thoracic duct injuries. The American Surgeon. 2000;66 (12 ):1165-1167
  16. Selle JG, Snyder WH, Schrider JT: Chylothorax indications for surgery. Ann Surg. 1973;177:244-249
  17. Kent RB, Pinson TW: Thoracoscopic ligation of the thoracic duct. Surg Endosc. 1993;7:52-53 https://doi.org/10.1007/BF00591238
  18. Kim MH, Lee SH, Lee HJ, Kim KT, Lee IS, Kim HM: A case of idiopathic bilateral chylothorax treated by chemical pleurodesis with OK 432. Korean J Thorac Cardiovasc Surg. 1995;28:951-953