Delaney Sean W, Shi Haoran, Shokrani Alireza, Sinha Uttam K
Department of Otolaryngology Head and Neck Surgery, Keck School of Medicine, University of Southern California, 1540 Alcazar St, Suite 204Q, Los Angeles, CA 90033, USA.
Department of Biochemistry and Molecular Biology, University of Southern California, Los Angeles, CA, USA.
Int J Otolaryngol. 2017;2017:8362874. doi: 10.1155/2017/8362874. Epub 2017 Jan 19.
Chyle leak formation is an uncommon but serious sequela of head and neck surgery when the thoracic duct is inadvertently injured, particularly with the resection of malignancy low in the neck. The thoracic duct is the primary structure that returns lymph and chyle from the entire left and right lower half of the body. Chyle extravasation can result in delayed wound healing, dehydration, malnutrition, electrolyte disturbances, and immunosuppression. Prompt identification and treatment of a chyle leak are essential for optimal surgical outcome. In this article we will review the current treatment options for iatrogenic cervical chyle leaks.
乳糜漏的形成是头颈外科手术中一种罕见但严重的后遗症，通常是在胸导管意外受损时发生，尤其是在颈部低位恶性肿瘤切除术中。胸导管是将淋巴液和乳糜液从身体整个左、右下半部分回流的主要结构。乳糜液外渗可导致伤口愈合延迟、脱水、营养不良、电解质紊乱和免疫抑制。及时识别和治疗乳糜漏对于获得最佳手术效果至关重要。在本文中，我们将综述目前医源性颈段乳糜漏的治疗选择。
