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Abstract：
BACKGROUND: Chylous leakage is a well-recognized but rare complication of head and neck surgery, affecting approximately 1% to 2.5% of head and neck dissections. It is a potentially life-threatening condition characterized by electrolyte imbalance, immunosuppression, delayed wound healing, risk of infection, and generalized sepsis. Management can be problematic and prolonged.
METHODS: We present a case of refractory cervical chylous leakage after neck dissection treated with ultrasound-guided intranodal lymphangiography.
RESULTS: Ultrasound-guided intranodal lymphangiography alone resulted in rapid and complete resolution of chylous leakage with minimal morbidity.
CONCLUSIONS: Based on our clinical experience and after a thorough literature review, we propose that ultrasound-guided intranodal lymphangiography with contrast agent could be considered a viable therapeutic option for persistent chylous leakages in selected patients.
METHODS: We present a case of refractory cervical chylous leakage after neck dissection treated with ultrasound-guided intranodal lymphangiography.
RESULTS: Ultrasound-guided intranodal lymphangiography alone resulted in rapid and complete resolution of chylous leakage with minimal morbidity.
CONCLUSIONS: Based on our clinical experience and after a thorough literature review, we propose that ultrasound-guided intranodal lymphangiography with contrast agent could be considered a viable therapeutic option for persistent chylous leakages in selected patients.
摘要：
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