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Early diagnosis of chyle fistula with SD LipidoCare after neck dissection

Published online by Cambridge University Press:  31 March 2021

D H Lee
Affiliation:
Department of Otolaryngology – Head and Neck Surgery, Chonnam National University Medical School and Hwasun Hospital, Hwasun, South Korea
H K Kim
Affiliation:
Department of Otolaryngology – Head and Neck Surgery, Chonnam National University Medical School and Hwasun Hospital, Hwasun, South Korea
J K Lee
Affiliation:
Department of Otolaryngology – Head and Neck Surgery, Chonnam National University Medical School and Hwasun Hospital, Hwasun, South Korea
S C Lim
Affiliation:
Department of Otolaryngology – Head and Neck Surgery, Chonnam National University Medical School and Hwasun Hospital, Hwasun, South Korea
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Abstract

Objective

This study aimed to analyse the results of chyle fistula testing using the SD LipidoCare system in patients who had undergone neck dissections performed in our hospital in 2019.

Method

Sixty patients who underwent neck dissections from March 2019 to November 2019 were identified based on their medical records.

Results

Post-operative chyle fistulas were observed in 3 of 60 patients (5 per cent). All patients who developed chyle fistulas had undergone left-sided neck dissections. Within 3 minutes, the SD LipidoCare test had produced triglyceride results of 49, 56 and 207 mg/dl in the three patients. The remaining 57 patients measured ‘low’ for triglycerides on the SD LipidoCare test system.

Conclusion

The SD LipidoCare test quickly and accurately diagnosed chyle fistulas in patients who had undergone neck dissections. All patients improved with conservative treatment following the early diagnosis of chyle fistulas.

Type
Main Articles
Copyright
Copyright © The Author(s), 2021. Published by Cambridge University Press

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Footnotes

Dr J K Lee takes responsibility for the integrity of the content of the paper

References

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Chen, CY, Chen, YH, Shiau, EL, Liang, HL, Chang, HS, Chen, HC. Therapeutic role of ultrasound-guided intranodal lymphangiography in refractory cervical chylous leakage after neck dissection: report of a case and review of the literature. Head Neck 2016;38:E5460CrossRefGoogle ScholarPubMed
Campisi, CC, Boccardo, F, Piazza, C, Campisi, C. Evolution of chylous fistula management after neck dissection. Curr Opin Otolaryngol Head Neck Surg 2013;21:150–6CrossRefGoogle ScholarPubMed

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