Negative Pressure Wound Therapy in the Treatment of Chylousfistula after Neck Dissection
| Authors | |
|---|---|
| Year of publication | 2016 |
| Type | Article in Periodical |
| Magazine / Source | ARC Journal of Surgery |
| MU Faculty or unit | |
| Citation | |
| Field | ORL, ophthalmology, stomatology |
| Keywords | chylous fistula; neck dissection; vacuum therapy; negative pressure wound therapy; NPWT |
| Description | Introduction: Chylorrhoea is an uncommon but potentially dangerous complication of neck surgery, particularly neck dissection. A periperative thoracic duct suture is performed or fibrin glue, absorbable cellulose or muscle flap may be used. Postoperatively conservative therapy is preferred. Case Report: We present a case of chylorrhoea after a salvage neck dissection persisting even after 2 surgical revisions. Chylorrhoea was successfully managed only after the use of NP WT (negative pressure wound therapy), which is so far relatively rare in otorhinolaryngological surgery. Conclusion: The modern method of local therapy by vacuum assisted closure appears to be useful for the chylous fistula treatment as well as for secondary healing of wounds, especially after oncological salvage surgery performed in the field of post radiation fibrosis. |
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