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 journalArticle

21 Citations (Scopus)

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 languageEnglish (US)
Pages (from-to)680-683
Number of pages4
JournalLaryngoscope
Volume118
Issue number4
DOIs
StatePublished - Apr 1 2008

Fingerprint

Thoracic Duct
Neck Dissection
Chylothorax
Laryngectomy
Hypovolemia
Resuscitation
Drainage
Squamous Cell Carcinoma
Neck
Thorax
Therapeutics
Head
Wounds and Injuries

Keywords

  • Chylothorax
  • Chylous leak
  • Laryngectomy
  • Lymphangiography
  • Thoracic duct embolization

ASJC Scopus subject areas

  • Otorhinolaryngology

Cite this

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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.",
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Thoracic duct embolization : A new treatment for massive leak after neck dissection. / Patel, Neel; Lewandowski, Robert J.; Bove, Michiel; Nemcek, Albert A.; Salem, Riad.

In: Laryngoscope, Vol. 118, No. 4, 01.04.2008, p. 680-683.

Research output: Contribution to journalArticle

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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

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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.

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