J 2016

Negative Pressure Wound Therapy in the Treatment of Chylousfistula after Neck Dissection

BINKOVÁ, Hana, Michal REŠKA, Rom KOSTŘICA and Zuzana HORÁKOVÁ

Basic information

Original name

Negative Pressure Wound Therapy in the Treatment of Chylousfistula after Neck Dissection

Authors

BINKOVÁ, Hana (203 Czech Republic, guarantor, belonging to the institution), Michal REŠKA (203 Czech Republic, belonging to the institution), Rom KOSTŘICA (203 Czech Republic, belonging to the institution) and Zuzana HORÁKOVÁ (203 Czech Republic, belonging to the institution)

Edition

ARC Journal of Surgery, Annavarappadu, ARC Publications Private Limited, 2016, 2455-572X

Other information

Language

English

Type of outcome

Článek v odborném periodiku

Field of Study

30200 3.2 Clinical medicine

Country of publisher

India

Confidentiality degree

není předmětem státního či obchodního tajemství

RIV identification code

RIV/00216224:14110/16:00088688

Organization unit

Faculty of Medicine

Keywords in English

chylous fistula; neck dissection; vacuum therapy; negative pressure wound therapy; NPWT

Tags

Změněno: 23/2/2017 11:26, Soňa Böhmová

Abstract

V originále

Introduction: Chylorrhoea is an uncommon but potentially dangerous complication of neck surgery, particularly neck dissection. A periperative thoracic duct suture is performed or fibrin glue, absorbable cellulose or muscle flap may be used. Postoperatively conservative therapy is preferred. Case Report: We present a case of chylorrhoea after a salvage neck dissection persisting even after 2 surgical revisions. Chylorrhoea was successfully managed only after the use of NP WT (negative pressure wound therapy), which is so far relatively rare in otorhinolaryngological surgery. Conclusion: The modern method of local therapy by vacuum assisted closure appears to be useful for the chylous fistula treatment as well as for secondary healing of wounds, especially after oncological salvage surgery performed in the field of post radiation fibrosis.

Links

GA16-12454S, research and development project
Name: Charakterizace a modifikace komplexní odpovědi buněk nádorů hlavy a krku na různá záření - krok kupředu ke kombinované personalizované (radio)terapii
Investor: Czech Science Foundation
NV16-29835A, research and development project
Name: Molekulárně-genetické markery predikce účinnosti radioterapie u nádorů hlavy a krku