Abstract
w t t ostoperative cervical chyle fistula is a rare but disturbng and potentially serious complication after neck disection. It results from violation of the thoracic duct or ight lymphatic duct and complicates 1% to 3% of radical eck dissections, with the majority (75% to 92%) being n the left side. The reported sequelae include severe uid, electrolyte and protein loss, skin flap necrosis, ound infection, carotid blowout, chylethorax, and faal anoxia. It also delays the planned postoperative adiotherapy and prolongs hospital stay. We describe our experience with a technique using nferiorly based omohyoid muscle flap during radical neck issection to prevent the development of chyle fistula.
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