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Updated: Jul 15, 2026

Modified Radical Neck Dissection for Cervical Metastasis

Modified Radical Neck Dissection for Cervical Metastasis

Published on: February 20, 2026

Three cases of bilateral chylothorax developing after neck dissection.

Kiyoaki Tsukahara¹, Kazuyoshi Kawabata, Hiroki Mitani

¹Division of Head and Neck, Cancer Institute Hospital, 3-10-6 Ariake, Koto-ku, Tokyo 135-8550, Japan. tsuka1116@nifty.com

Auris, Nasus, Larynx

|May 1, 2007

Summary

Bilateral chylothorax after neck dissection is rare, with only 16 prior reports. Conservative treatment successfully resolved all three new cases, highlighting its efficacy for this rare complication.

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Area of Science:

Thoracic Surgery
Surgical Complications
Oncology

Background:

Bilateral chylothorax is a rare complication following neck dissection.
Only 16 cases have been reported in the last century.
Neck dissection, particularly after radiotherapy, poses unique challenges.

Observation:

Three new cases of bilateral chylothorax post-neck dissection are presented.
Patients on total parenteral nutrition may experience delayed diagnosis.
Previous radiotherapy complicates management.

Findings:

Conservative management led to resolution in all three reported cases.
Early diagnosis is crucial, especially in patients receiving total parenteral nutrition.
Radiotherapy history increases treatment complexity.

Implications:

Conservative treatment is a viable option for managing bilateral chylothorax post-neck dissection.
Awareness is needed for timely diagnosis in at-risk populations.
Further research may explore optimized management strategies for complex cases.