{Reference Type}: Case Reports
{Title}: Therapeutic role of ultrasound-guided intranodal lymphangiography in refractory cervical chylous leakage after neck dissection: Report of a case and review of the literature.
{Author}: Chen CY;Chen YH;Shiau EL;Liang HL;Chang HS;Chen HC;
{Journal}: Head Neck
{Volume}: 38
{Issue}: 2
{Year}: Feb 2016
{Factor}: 3.821
{DOI}: 10.1002/hed.24134
{Abstract}: <B>BACKGROUND: </B>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.<BR><B>METHODS: </B>We present a case of refractory cervical chylous leakage after neck dissection treated with ultrasound-guided intranodal lymphangiography.<BR><B>RESULTS: </B>Ultrasound-guided intranodal lymphangiography alone resulted in rapid and complete resolution of chylous leakage with minimal morbidity.<BR><B>CONCLUSIONS: </B>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.