Chinese Journal of Tissue Engineering Research ›› 2011, Vol. 15 ›› Issue (21): 3987-3990.doi: 10.3969/j.issn.1673-8225.2011.21.045

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Medical biological adhesive treatment of chylous fistula in 12 cases

Wu Jing, Feng Yuan-yong, Jin Xiao-ming, Wang Zeng-feng, Miao Hai-ping, Yan Ping, Shang Wei   

  1. Department of Oral and Maxillofacial Surgery, Affiliated Hospital of Qingdao University Medical College, Qingdao  266003, Shandong Province, China
  • Received:2010-10-27 Revised:2011-01-17 Online:2011-05-21 Published:2011-05-21
  • Contact: Shang Wei, Doctor, Professor, Master’s supervisor, Chief physician, Department of Oral and Maxillofacial Surgery, Affiliated Hospital of Qingdao University Medical College, Qingdao 266003, Shandong Province, China liweishang2004@yahoo.com.cn
  • About author:Wu Jing★, Studying for master’s degree, Department of Oral and Maxillofacial Surgery, Affiliated Hospital of Qingdao University Medical College, Qingdao 266003, Shandong Province, China waner507@163.com

Abstract:

BACKGROUND: As for the treatment of chylous fistula concurrent in oral-maxillofacial tumor resection simultaneously undergoing neck lymph node dissection, many different approaches have been put forward. A simple surgical ligation, strong negative pressure drainage, filling the muscle tissue alone or a combination of the above methods are all unsatisfactory regarding the prognosis and curative effect.
OBJECTIVE: To evaluate the validity of medical biological adhesive cohering peripheral autologous muscle tissues to block thoracic duct fistula in order to prevent chylous fistula following neck lymph node dissection.
METHODS: All of the 12 patients were detected and diagnosed as chylous fistula in neck lymph node dissection surgery, the wounds were immediately sutured and treated with medical biological adhesive cohering peripheral autologous muscle tissues to block thoracic duct fistula.
RESULTS AND CONCLUTION: Of all the 12 patients, 10 recovered without chylous fistula or severe complications, and reoperations were adopted to cure the failed 2 cases. All patients were visited 3 months postoperatively, no recurrence of chylous fistula, local stimulus response or allergy was found. It is suggested medical adhesive to block thoracic duct fistula may be an effective and safe way for prevent chylous fistula following neck lymph node dissection.

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