J Korean Assoc Oral Maxillofac Surg.  2024 Feb;50(1):3-12. 10.5125/jkaoms.2024.50.1.3.

Chyle leak after head and neck surgeries: a comprehensive review of diagnosis and management strategies

• Ganesan A
• Singh NC
• Khatri NP
• Madaan CS
• Kaur S
• Kaur A

• KMID: 2553657
• DOI: http://doi.org/10.5125/jkaoms.2024.50.1.3

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.

Keyword

Chyle; Thoracic duct; Neck dissection; Octreotide

Figure

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  Fig. 1 Anatomy of thoracic duct. (SVC: superior vena cava)

• 

  Fig. 2 The PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) flow diagram.

Reference

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