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Korean Journal of Head & Neck Oncology 2016;32(2):79-83.
Published online November 30, 2016.
Case Report: Intraoperative Management Using Inferior Based Rotation Flap of Sternocleidomastoid Muscle for Chyle Fistula
Seo Bin Kim;Hyoung Shin Lee;Kang Dae Lee;Sung Won Kim
흉쇄유돌근의 회전피판을 이용한 수술 중 발생한 유미루의 치료 1예
김서빈;이형신;이강대;김성원
Abstract
Chyle fistula is one of the complications of neck dissections. Although immediate surgical repair seems to be the best choice when chyle leakage is observed during the operation, some operators can be embarrassed when chyle leakage is heavy and not controlled during surgery. In this case, chyle leakage was occurred after extensive resection of lymph nodes in left level IV, and was not controlled in any way. The clavicular head of sternocleidomastoid muscle was dissected and inferior-based muscular flap was rotated to cover the suspected region of fistula orifice. Amount of drainage was checked less than 20 ml per day in the following days, and drain tube was taken out on the 3rd postoperative days. We present the technique using the inferior based sternocleidomastoid muscle flap for intraoperative management of chyle leakage not easily controlled.
Key Words: Chyle Leakage, Sternocleidomastoid muscle, Rotation flap
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