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Abstract：
OBJECTIVE: Cervical chylous fistula is an uncommon but potentially severe occurrence associated with neck surgery. Methods for treating this problem have inconsistent efficacy and may result in lengthy hospital stays. Negative pressure wound therapy (NPWT) is a highly effective tool in the management of complex wounds. We report 3 cases where NPWT was successfully used to treat chylous fistulas following neck dissection.
METHODS: This is a retrospective chart review of 3 patients who developed chylous fistulas after neck dissection and were successfully treated with NPWT.
RESULTS: Chylous ouput ceased within 2 to 8 days of proper wound VAC placement. Hospital stays ranged from 6 to 47 days. Patients received altered diets, including TPN for 1 patient with high-flow output and nil-per-os (NPO) or clear liquids for the others. Patients received octreotide throughout their hospitalization.
CONCLUSIONS: NPWT shows potential as a treatment option for both high-volume and low-volume chylous fistulas following neck dissection.
METHODS: This is a retrospective chart review of 3 patients who developed chylous fistulas after neck dissection and were successfully treated with NPWT.
RESULTS: Chylous ouput ceased within 2 to 8 days of proper wound VAC placement. Hospital stays ranged from 6 to 47 days. Patients received altered diets, including TPN for 1 patient with high-flow output and nil-per-os (NPO) or clear liquids for the others. Patients received octreotide throughout their hospitalization.
CONCLUSIONS: NPWT shows potential as a treatment option for both high-volume and low-volume chylous fistulas following neck dissection.
摘要：
目的：颈部乳糜瘘是一种罕见但潜在严重的颈部手术并发症。用于治疗该问题的方法具有不一致的功效并且可能导致长时间的住院。负压伤口治疗（NPWT）是处理复杂伤口的高效工具。我们报告了3例NPWT成功用于颈部清扫术后乳糜瘘的病例。
方法：这是3例患者的回顾性图表回顾，这些患者在颈淋巴结清扫术后出现乳糜瘘，并成功接受NPWT治疗。
结果：在正确放置伤口VAC后2至8天内，乳糜排出停止。住院时间为6至47天。患者接受了改变的饮食，包括1例患者的TPN，高流量输出和nil-per-os（NPO）或其他患者的透明液体。患者在整个住院期间接受奥曲肽治疗。
结论：NPWT显示出作为颈部清扫术后高容量和低容量乳糜瘘的治疗选择的潜力。
方法：这是3例患者的回顾性图表回顾，这些患者在颈淋巴结清扫术后出现乳糜瘘，并成功接受NPWT治疗。
结果：在正确放置伤口VAC后2至8天内，乳糜排出停止。住院时间为6至47天。患者接受了改变的饮食，包括1例患者的TPN，高流量输出和nil-per-os（NPO）或其他患者的透明液体。患者在整个住院期间接受奥曲肽治疗。
结论：NPWT显示出作为颈部清扫术后高容量和低容量乳糜瘘的治疗选择的潜力。
