Thoracic Duct Embolization: A New Treatment for Massive Leak After Neck Dissection
- 1 April 2008
- journal article
- case report
- Published by Wiley in The Laryngoscope
- Vol. 118 (4), 680-683
- https://doi.org/10.1097/mlg.0b013e31816067b8
Abstract
Chylothorax results from injury to the thoracic duct or one of its branches. It is an uncommon but possibly serious complication of thoracic or head and neck surgery. We report a case of thoracic duct transection complicating a total laryngectomy with bilateral selective neck dissection for subglottic squamous cell carcinoma. High‐output Jackson Pratt drainage was noted, resulting in patient hypovolemia that was unresponsive to volume resuscitation. Treatment consisted of percutaneous embolization of the thoracic duct proximal to the transection that subsequently normalized chylous output.This publication has 11 references indexed in Scilit:
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