Journal of the Korean Association of Oral and Maxillofacial Surgeons
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- P-ISSN2234-7550
- E-ISSN2234-5930
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ISSN : 2234-7550
Chyle leak after head and neck surgeries: a comprehensive review of diagnosis and management strategies
Nehal C. Singh (Department of Anaesthesiology & Intensive Care, Postgraduate Institute of Medical Education and Research (PGIMER), Chandigarh)
Naren P. Khatri (Department of Orthopedics, Zydus Sitapur Hospital, Ahmedabad, India)
Charanjeet Singh Madaan (Schulich School of Medicine and Dentistry, Western University, London, ON, Canada)
Savreek Kaur (Schulich School of Medicine and Dentistry, Western University, London, ON, Canada)
Amanjot Kaur (Department of Oral and Maxillofacial Surgery, All India Institute of Medical Sciences, Jammu, India)
Abstract
Chyle leaks are uncommon complications after head and neck surgeries. Although uncommon, such a complication is noteworthy mention due to its perplexing diagnosis and management strategies. This scoping review aims to highlight and emphasize the diagnosis and management options proposed in the literature. A comprehensive search was performed in PubMed, Google Scholar, Cochrane Library, and Scopus databases and identified 617 articles that were reduced to 40 studies and reports after applying the eligibility criteria. Although numerous treatment options ranging from simple, conservative measures to invasive surgical procedures have been mentioned for low-output, high-output, and massive leaks, there is no concrete evidence on the best method. Thus, a combination of management options must be customized by case for optimum results.
- keywords
- Chyle, Thoracic duct, Neck dissection, Octreotide
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