Abstract

Chylous leakage is a rare but serious postoperative complication of neck dissection (ND). Most chylous leakages are successfully treated either by drainage or ligation of the thoracic duct, but the resolution is occasionally prolonged. OK432 sclerotherapy is used to treat various refractory cystic diseases of the head and neck. Three patients were treated with OK432 sclerotherapy for refractory chylous leakage following ND. Case 1 involved a 77-year-old man with chylous leakage after a total laryngectomy and bilateral ND. Case 2 involved a 71-year-old woman who underwent total thyroidectomy and left ND for thyroid cancer. Case 3 involved a 61-year-old woman who underwent right ND for oropharyngeal cancer. In all patients, chylous leakage rapidly improved after OK432 injection without any complications. Our results suggest the efficacy of OK432 sclerotherapy in patients with refractory chylous leakage after ND.

Details

Title
OK432 sclerotherapy for refractory chylous leakage after neck dissection
Author
Hashimoto, Yuiko 1 ; Teshima, Masanori 1 ; Yui, Mitsuko 1 ; Tatehara, Shun 1 ; Iritani, Keisuke 1 ; Furukawa, Tatsuya 1 ; Shinomiya, Hirotaka 1 ; Nibu, Ken-ichi 1 

1  Department of Otolaryngology-Head and Neck Surgery, Kobe University Graduate School of Medicine , 7-5-1, Kusunoki-Cho, Chuo-Ku, Kobe, Hyogo, 650-0017 , Japan 
Publication year
2023
Publication date
Jun 2023
Publisher
Oxford University Press
e-ISSN
20428812
Source type
Scholarly Journal
Language of publication
English
DOI
https://doi.org/10.1093/jscr/rjad310
ProQuest document ID
3170750546
Copyright
Published by Oxford University Press and JSCR Publishing Ltd. © The Author(s) 2023. This work is published under https://creativecommons.org/licenses/by/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.