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KMID : 0361020230660040277
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Korean Journal of Otolaryngology - Head and Neck Surgery
2023 Volume.66 No. 4 p.277 ~ p.280
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Chylothorax After Salvage Neck Dissection Without Chyle Leakage at Operation Site: A Case Repor
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Kim Min-Gyu
Chang Jae-Won
Koo Bon-Seok
Won Ho-Ryun
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Abstract
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Leaks of chyle can occur during a head and neck surgery and can appear very rarely as chylo-thorax. A 62-year-old male diagnosed with Hypopharyngeal cancer was diagnosed with nodalfailure during a follow-up after radiation therapy and underwent a left cervical lymph nodedissection. Chest x-ray was taken due to dyspnea that began on the second day of surgery. Itwas diagnosed as bilateral chylothorax; absolute bed resting and fasting were maintainedalong with drainage through pleural puncture. The patient was discharged from the hospitalwith all improved symptoms on the 10th day after surgery and has been followed up for 5years without recurrence. Chylothorax is a complication that cannot be just watched but mustbe detected and treated early. Since we have experienced a case of very rare bilateral chylo-thorax without any leakage at the neck operation site, we would like to report it with a review of the literature.
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KEYWORD
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Chyle, Chylothorax, Neck dissection
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