Crushed Muscle Tissue Graft: A Efficient Repair Technique for Intraoperative Chylous Fistulas

JOURNAL TITLE: International Journal of Phonosurgery & Laryngology

Author
1. A Nanjundappa
2. Ashok M Shenoy
3. Sudhir Naik
4. Purshottam Chavan
5. Rajshekar Halkud
6. Sumit Gupta
ISSN
2230-7508
DOI
10.5005/jp-journals-10023-1048
Volume
3
Issue
1
Publishing Year
2013
Pages
5
Author Affiliations
    1. Leicester, UK
    2. New Delhi, India
    3. Skinnovation Clinics, GNH Excel Medical Center, Sir Ganga Ram Hospital, Northern Central Railway Hospital, New Delhi, India
    4. Sir Ganga Ram Hospital, New Delhi, India
    1. Assistant Professor in ENT and Head and Neck Surgery, KVG Medical College Hospital, Sullia, Karnataka, India
    1. Department of Head and Neck Oncosurgery Kidwai Memorial Institute of Oncology, Bengaluru, Karnataka, India
    1. Department of Head and Neck Surgery, Kidwai Memorial Institute of Oncology, Bengaluru, Karnataka, India
    1. Department of Head and Neck oncosurgery, Kidwai Memorial Institute of oncology, Bengaluru, Karnataka, India
    1. Department of Head and Neck oncosurgery, Kidwai Memorial Institute of oncology, Bengaluru, Karnataka, India
  • Article keywords

    Abstract

    Background/objectives

    Chylous fistula is an uncommon but serious complication of radical neck dissections and is a complication which can be better avoided than treated. Presence of amber colored lymph in the postoperative closed wound suction drainage is defined as chylous fistula.

    Materials and methods

    The study was done over 18 months analyzing neck dissections done for 245 cases for complications of chyle leak. Six cases of chyle leak were identified during the course of the study.

    Results

    All the six cases were repaired with crushed muscle tissue graft harvested from the remaining portion of the sternocleidomastoid muscle was spread out and sealed. No chyle leak complications were seen in the drains after the repair.

    Conclusion

    The use of crushed local muscle tissue grafts offers better chances of success for closure of chylous fistulae in the neck, especially when the fistulous opening was difficult to ligate and the site of leak was only packed with sponge gel or Surgicel®. This complication should be better avoided than repaired.

    How to cite this article

    Naik SM, Chavan P, Halkud R, Shenoy AM, Nanjundappa A, Gupta S. Crushed Muscle Tissue Graft: A Efficient Repair Technique for Intraoperative Chylous Fistulas. Int J Phonosurg Laryngol 2013;3(1):1-5.

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