Thoracic duct embolization: A new treatment for massive leak after neck dissection

Neel Patel; Robert J. Lewandowski; Michiel Bove; Albert A. Nemcek; Riad Salem

doi:10.1097/MLG.0b013e31816067b8

Thoracic duct embolization: A new treatment for massive leak after neck dissection

Neel Patel, Robert J. Lewandowski, Michiel Bove, Albert A. Nemcek, Riad Salem^*

^*Corresponding author for this work

Research output: Contribution to journal › Article › peer-review

32 Scopus citations

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.

Original language	English (US)
Pages (from-to)	680-683
Number of pages	4
Journal	Laryngoscope
Volume	118
Issue number	4
DOIs	https://doi.org/10.1097/MLG.0b013e31816067b8
State	Published - Apr 2008

Keywords

Chylothorax
Chylous leak
Laryngectomy
Lymphangiography
Thoracic duct embolization

ASJC Scopus subject areas

Otorhinolaryngology

Access to Document

10.1097/MLG.0b013e31816067b8

Cite this

@article{3b9951bc4371475ea39f9c8657b492e2,

title = "Thoracic duct embolization: A new treatment for massive leak after neck dissection",

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.",

keywords = "Chylothorax, Chylous leak, Laryngectomy, Lymphangiography, Thoracic duct embolization",

author = "Neel Patel and Lewandowski, {Robert J.} and Michiel Bove and Nemcek, {Albert A.} and Riad Salem",

year = "2008",

month = apr,

doi = "10.1097/MLG.0b013e31816067b8",

language = "English (US)",

volume = "118",

pages = "680--683",

journal = "Laryngoscope",

issn = "0023-852X",

publisher = "Wiley-Blackwell",

number = "4",

}

TY - JOUR

T1 - Thoracic duct embolization

T2 - A new treatment for massive leak after neck dissection

AU - Patel, Neel

AU - Lewandowski, Robert J.

AU - Bove, Michiel

AU - Nemcek, Albert A.

AU - Salem, Riad

PY - 2008/4

Y1 - 2008/4

N2 - 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.

AB - 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.

KW - Chylothorax

KW - Chylous leak

KW - Laryngectomy

KW - Lymphangiography

KW - Thoracic duct embolization

UR - http://www.scopus.com/inward/record.url?scp=41849091546&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=41849091546&partnerID=8YFLogxK

U2 - 10.1097/MLG.0b013e31816067b8

DO - 10.1097/MLG.0b013e31816067b8

M3 - Article

C2 - 18176346

AN - SCOPUS:41849091546

SN - 0023-852X

VL - 118

SP - 680

EP - 683

JO - Laryngoscope

JF - Laryngoscope

IS - 4

ER -

Thoracic duct embolization: A new treatment for massive leak after neck dissection

Abstract

Keywords

ASJC Scopus subject areas

Access to Document

Other files and links

Fingerprint

Cite this