Management of Chylous Fistula Using the Fibrin Adhesive Set

• Published in: O.R.L. Journal for oto-rhino-laryngology and its related specialties Vol. 60; no. 4; pp. 230 - 232
• Main Authors: Velegrakis, George A., Prokopakis, Emmanuel P., Papadakis, Chariton E., Bizakis, John G., Kyrmizakis, Dionysios E., Helidonis, Emmanuel S.
• Format: Journal Article
• Language: English
• Published: Basel, Switzerland Karger 01.07.1998; S. Karger AG
• Subjects: Biological and medical sciences; Carcinoma, Squamous Cell - surgery; Case Report; Chyle; Fibrin Tissue Adhesive - therapeutic use; Fistula - etiology; Fistula - surgery; Head and neck surgery. Maxillofacial surgery. Dental surgery. Orthodontics; Humans; Laryngeal Neoplasms - surgery; Male; Medical sciences; Middle Aged; Neck Dissection - adverse effects; Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases; Surgery of the upper aerodigestive tract; Chylous fistula; Fibrin; Neck dissection; Human; Carcinoma; Male; Fistula; Malignant tumor; Chyle; Laryngectomy; Pressure; Radical; Case study; Dressing; Treatment; Surgery; Total; ENT disease; Adult; Complication; Larynx disease; Neck; Dissection; Subglottis; Bibliographic review
• ISSN: 0301-1569; 1423-0275
• DOI: 10.1159/000027600

Chylous fistula complicates 1.1% of all radical neck dissections, and 2.4% of left-sided dissections. The standard treatment of established chylous leak in the reported cases is a pressure dressing applied to the lower neck. Here we present a case of chylous fistula, where conservative methods failed to cope with this complication. The additional application of a fibrin adhesive set was a successful modality of treatment.