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Postoperative chyle leak is a rare but serious complication of head and neck surgery The management of chylothorax largely depends on the cause and includes dietary modification and drainage of the pleural. Chyle leak can lead to a systemic metabolic imbalance, a prolonged wound healing and longer hospital stay
Management algorithm for use with postoperative chyle leaks | Download
Early identification and treatment are crucial for good. Etiologies are broadly divided into traumatic, including postsurgical, and nontraumatic, most commonly in the setting of malignancy No management algorithm has been universally adopted for patients with chylothorax since multiple clinical factors unique to each patient impact therapy including etiology (table 1), symptoms, age, functional status, local expertise, and rate of chyle accumulation
Chyle leaks are an uncommon but challenging complication for clinicians
Nutrition therapy is a key component in the care of patients with chyle leaks and can range from primary treatment to adjunctive therapy However, the best route for nutrition, the optimal mix of nutrients, and the required duration of the therapy. A chyle leak occurs when there is a damage to the lymphatic system, which may happen as a result of surgery, injury or through a disease condition Chyle then builds up and may cause swelling in the chest or abdomen.
Chyle leaks of any source or type can cause significant morbidity and mortality Attention to the anatomy and physiology of the leak, followed by stepwise dietary and pharmacologic management, obviat. Chylothorax, the accumulation of chyle in the pleural space, is usually caused by the disruption of the thoracic duct or its tributaries
