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KMID : 0355620240500010003
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Journal of Korean Association of Oral and Maxillofacial Surgeons
2024 Volume.50 No. 1 p.3 ~ p.12
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Chyle leak after head and neck surgeries: a comprehensive review of diagnosis and management strategies
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Aparna Ganesan
Nehal C. Singh
Naren P. Khatri
Charanjeet Singh Madaan
Savreek Kaur
Amanjot Kaur
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Abstract
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Chyle leaks are uncommon complications after head and neck surgeries. Although uncommon, such a complication is noteworthy mention due to its perplexing diagnosis and management strategies. This scoping review aims to highlight and emphasize the diagnosis and management options proposed in the literature. A comprehensive search was performed in PubMed, Google Scholar, Cochrane Library, and Scopus databases and identified 617 articles that were reduced to 40 studies and reports after applying the eligibility criteria. Although numerous treatment options ranging from simple, conservative measures to invasive surgical procedures have been mentioned for low-output, high-output, and massive leaks, there is no concrete evidence on the best method. Thus, a combination of management options must be customized by case for optimum results.
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KEYWORD
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Chyle, Thoracic duct, Neck dissection, Octreotide
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