Korean J Otorhinolaryngol-Head Neck Surg.
2008 Sep;51(9):846-849.
Picibanil Sclerotherapy for Intractable Chylous Leakage After Neck Dissection
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- 1Department of Otorhinolaryngology, College of Medicine, Seoul National University, Seoul, Korea. kimkwang@plaza.snu.ac.kr
Abstract
- undergo radical neck dissection. Subsequent chyle leakage can cause complications such as skin flap necrosis, orocutaneous fistula, electrolyte imbalance and protein loss. Chyle leakage is managed conservatively with total parenteral nutrition and mediumchain triglyceride diet or is treated surgically with leakage site ligation or thoracic duct ligation. Sclerotherapy can be one of the treatment options and tetracycline and povidone-iodine have been reported to be used as sclerosing agents. However, Picibanil sclerotheray for post-neck dissection chyle leakage has not been reported. This paper presents our experience in the management of a intractable chyle leakage which was irresponsive to conservative management and thoracic duct ligation, by successfully employing Picibanil.
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