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Bilateral chylothorax following neck dissection

โœ Scribed by Alaa S. Abdul Jabbar; Abdulmajeed Al-Abdulkareem


Publisher
John Wiley and Sons
Year
1995
Tongue
English
Weight
371 KB
Volume
17
Category
Article
ISSN
1043-3074

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โœฆ Synopsis


Background: Bilateral chylothorax, as a complication of neck dissection, is extremely rare, and was first described in 1907. Ten cases are reported in the literature.

Methods. This presentation illustrates an additional case of bilateral chylothorax occurring after neck dissection. Anatomic and physiologic considerations are presented and possible mechanisms of pathogenesis are discussed.

Results. Chylothorax has two major complications: respiratory and metabolic. The modern concepts of treatment are summarized.

Conclusions. After neck dissection, the clinician should suspect chylothorax if the patient had respiratory embarrassment and an abnormal chest x-ray postoperatively.


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