Publication details

Negative Pressure Wound Therapy in the Treatment of Chylousfistula after Neck Dissection

Authors

BINKOVÁ Hana REŠKA Michal KOSTŘICA Rom HORÁKOVÁ Zuzana

Year of publication 2016
Type Article in Periodical
Magazine / Source ARC Journal of Surgery
MU Faculty or unit

Faculty of Medicine

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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