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Bilateral chylothorax following left radical neck dissection (Case report)

  • A. Pace-Balzan (a1) and B. Moriarty (a2)
Summary

Bilateral chylothorax is a rare complication of radical neck dissection and was first described in 1907. Stuart (1907) reviewed a number of patients with injuries to the thoracic duct in the neck and reported on three patients with bilateral chylothotax, all of whom died. The condition was not reported again until 1951 when the first of the five single case reported published to date appeared. The rarity with with which this complication is reported makes it difficult for clinicians to be familiar with it. A further case is reported and the relevant literture, and certain aspects of the aetiology and management are discussed.

Copyright
Corresponding author
A. Pace-Balzan, Department of Otolaryngology, Manchester Royal Infirmary, Oxford Road, Manchester M13 9WL.
References
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Coates, H. L. and Desanto, L. W. (1976) Bilateral chylothorax as a complication of radical neck dissection. Journal of Otolaryngology, 90: 967970.
Fitz-Hugh, G. S. and Cowgill, R. (1970) Chylous fistula. Archives of Otolaryngology, 91: 543547.
Frazell, E. L., Harrold, C. C. and Rasmussen, L. (1951) Bilateral chylothorax. Annals of Surgery, 134137.
Har-El, G., Segal, K. and Sidi, J. (1985) Bilateral chylothorax complicating radical neck dissection: Report of a case with no concurrent external chylous leakage. Head and Neck Surgery, 7: 225230.
Ng, R. S., Kerbavaz, R. J. and Hilsinger, R. L. (1985) Bilateral chylothorax from radical neck dissection. Otolaryngology, Head and Neck Surgery, 93: 814817.
Saraceno, C. A. and Farrior, R. T. (1981) Bilateral chylothorax. Archives of Otolaryngology, 107: 497499.
Stuart, W. J. (1907) Operative injury of thoracic duct in the neck. Edinburgh Medical Journal, 22: 301317.
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The Journal of Laryngology & Otology
  • ISSN: 0022-2151
  • EISSN: 1748-5460
  • URL: /core/journals/journal-of-laryngology-and-otology
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