The authors have no funding, financial relationships, or conflicts of interest to disclose.
Facial Plastics/Reconstructive Surgery
Management of chylous fistula after neck dissection using negative-pressure wound therapy: A preliminary report†
Article first published online: 23 MAR 2012
Copyright © 2012 The American Laryngological, Rhinological, and Otological Society, Inc.
Volume 122, Issue 5, pages 997–999, May 2012
How to Cite
Kadota, H., Kakiuchi, Y. and Yoshida, T. (2012), Management of chylous fistula after neck dissection using negative-pressure wound therapy: A preliminary report. The Laryngoscope, 122: 997–999. doi: 10.1002/lary.23216
- Issue published online: 18 APR 2012
- Article first published online: 23 MAR 2012
- Manuscript Accepted: 27 DEC 2011
- Manuscript Revised: 21 DEC 2011
- Manuscript Received: 18 SEP 2011
- Negative-pressure wound therapy;
- chylous fistula;
- neck dissection
Chylous fistula is a distressing complication resulting from thoracic duct injury during neck dissections. We have successfully managed chylous fistula using negative-pressure wound therapy (NPWT) in a case where all conservative treatments failed. A 60-year-old man with tongue cancer underwent subtotal glossectomy and bilateral neck dissections. On postoperative day 4, a chylous fistula with large drainage developed in the right neck. Conservative treatments were not effective, therefore, NPWT was started from postoperative day 9. The drainage volume then began to decrease, and the chylous fistula was closed 6 days after starting NPWT. In our case, the effects of wound shrinkage and fluid removal by NPWT were considered to contribute to early closure. Although preliminary, NPWT can be an important treatment choice for the management of a chylous fistula after neck dissections.