Tao Wei 1 , Feng Liu 1 , Zhihui Li 1 , Yanping Gong 1 , Jingqiang Zhu 2 Show Affiliations »
Abstract
OBJECTIVE: Cervical chylous fistula is an uncommon complication after neck dissection, but it might lead to some serious clinical outcomes. Although most cervical chylous fistulas can heal in a few days with standard treatments, some can be intractable. In this study, we describe a new method with local application of Pseudomonas aeruginosa injection for intractable cervical chylous fistula. STUDY DESIGN: Case series with chart review. SETTING: West China Hospital, Sichuan University, Chengdu, China. SUBJECTS AND METHODS: The charts of 18 patients who were treated with P aeruginosa injection (PAI) for intractable cervical chylous fistula were retrospectively reviewed. RESULTS: All patients were successfully treated with PAI. Mild fever (temperature, <38°C) occurred in 9 patients, moderate fever (38°C-39°C) in 4 patients, and severe fever (>39°C) in 5 patients. All patients had mild to severe neck pain. CONCLUSIONS: Local application of PAI is an effective method for the treatment of intractable cervical chylous fistula, of which the most common side effects are transient fever and local pain. © American Academy of Otolaryngology-Head and Neck Surgery Foundation 2015.
OBJECTIVE: Cervical chylous fistula is an uncommon complication after neck dissection, but it might lead to some serious clinical outcomes. Although most cervical chylous fistulas can heal in a few days with standard treatments, some can be intractable. In this study, we describe a new method with local application of Pseudomonas aeruginosa injection for intractable cervical chylous fistula . STUDY DESIGN: Case series with chart review. SETTING: West China Hospital, Sichuan University, Chengdu, China. SUBJECTS AND METHODS: The charts of 18 patients who were treated with P aeruginosa injection (PAI ) for intractable cervical chylous fistula were retrospectively reviewed. RESULTS: All patients were successfully treated with PAI . Mild fever (temperature, <38°C) occurred in 9 patients , moderate fever (38°C-39°C) in 4 patients , and severe fever (>39°C) in 5 patients . All patients had mild to severe neck pain . CONCLUSIONS: Local application of PAI is an effective method for the treatment of intractable cervical chylous fistula , of which the most common side effects are transient fever and local pain . © American Academy of Otolaryngology-Head and Neck Surgery Foundation 2015.
Entities: Chemical
Disease
Species
Keywords:
Pseudomonas aeruginosa injection; chyle; fistula; neck dissection; thyroid carcinoma
Mesh： See more »
Year: 2015
PMID： 26002958 DOI： 10.1177/0194599815584917
Source DB: PubMed Journal: Otolaryngol Head Neck Surg ISSN： 0194-5998 Impact factor: 3.497