Crumley R L, Smith J D
Laryngoscope. 1976 Jun;86(6):804-13. doi: 10.1288/00005537-197606000-00008.
Postoperative chylous fistulas occur as a complication in 1-2% of all radical neck dissections. Twelve cases are reviewed herein. Chylous fistulas are more common with left neck dissections, but 25% occurred on the right side in this series. An intraoperative chylous fistula was recognized and treated in 75% of the cases which later developed a postoperative fistula. Postoperative fistulas may be divided into two groups: minor fistulas may be treated with pressure dressings and repeated aspirations; fistulas which do not respond to conservative management should be re-explored early and the fistula ligated.
术后乳糜瘘是所有根治性颈清扫术中1%-2%会出现的并发症。本文回顾了12例病例。乳糜瘘在左颈清扫术中更为常见，但在本系列中25%发生于右侧。75%后来出现术后瘘的病例术中就识别并处理了乳糜瘘。术后瘘可分为两组：小瘘可用加压敷料和反复抽吸治疗；对保守治疗无反应的瘘应尽早再次探查并结扎瘘管。
