Bilateral chylothorax after left radical neck dissection.

A Jortay, P Bisschop

Journal: Acta oto-rhino-laryngologica Belgica 2002;55(4):285-9

PMID: 11859647

Abstract

Bilateral chylothorax, as a complication of neck dissection, is very rare as evidenced by the 11 cases reported in the literature up to date. We present an additional case of bilateral chylothorax following a left radical neck dissection and concomitant chylous neck fistula. This case was successfully treated by chest drainage and total parenteral nutrition. Early diagnosis of chylothorax is urged due to the consequences on metabolism and respiratory conditions. Management by aspiration drainage is usually sufficient to control pleural effusions.

Address: Service ORL et de chirurgie cervico-faciale, CHU Brugmann, 4 Place Van Gehuchten, 1020 Bruxelles.

MeSH Terms: Carcinoma, Squamous Cell, Chyle, Chylothorax, Female, Fistula, Humans, Middle Aged, Neck, Neck Dissection, Postoperative Complications