{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,27]],"date-time":"2026-08-27T15:21:50Z","timestamp":1787844110315,"version":"build-2784847793"},"reference-count":9,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"1","license":[{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2026,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Rationale:<\/jats:title>\n                    <jats:p>Surgery for oral cancer necessitates neck dissection, which is a common and safe procedure. However, it can be associated with few complications. Chyle leak (CL) is one such rare complication of neck dissection surgery, which is a potentially life-threatening complication.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Patient Concerns:<\/jats:title>\n                    <jats:p>We report a case of left-sided CL following neck dissection surgery in a case of cancer of the tongue.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Diagnosis:<\/jats:title>\n                    <jats:p>Postoperatively, excessive drain output collection and biochemical analysis of fluid confirmed CL.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Treatment:<\/jats:title>\n                    <jats:p>Immediate conservative measures were taken. Ligation of the thoracic duct was performed which successfully ceased CL.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Outcomes:<\/jats:title>\n                    <jats:p>There was no sign of CL after ligation of the thoracic duct, and the patient was then discharged uneventfully.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Take-away Lessons:<\/jats:title>\n                    <jats:p>In any case of CL, early diagnosis and prompt aggressive treatment is imperative to reduce morbidity as well as mortality. The management of CL includes low fat diet, parenteral nutrition, the use of pressure dressings and ligation of the thoracic duct.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.4103\/ams.ams_209_24","type":"journal-article","created":{"date-parts":[[2026,5,19]],"date-time":"2026-05-19T13:03:09Z","timestamp":1779195789000},"page":"124-127","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Chyle Leak after Oral Cancer Surgery - A Case Report"],"prefix":"10.4103","volume":"16","author":[{"given":"Pulkit","family":"Khandelwal","sequence":"first","affiliation":[{"name":"Department of Oral and Maxillofacial Surgery, Rural Dental College, PIMS DU, Loni, Maharashtra, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Harish","family":"Saluja","sequence":"additional","affiliation":[{"name":"Department of Oral and Maxillofacial Surgery, Rural Dental College, PIMS DU, Loni, Maharashtra, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Seemit","family":"Shah","sequence":"additional","affiliation":[{"name":"Department of Oral and Maxillofacial Surgery, Rural Dental College, PIMS DU, Loni, Maharashtra, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anuj","family":"Dadhich","sequence":"additional","affiliation":[{"name":"Department of Oral and Maxillofacial Surgery, Rural Dental College, PIMS DU, Loni, Maharashtra, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2026,5,19]]},"reference":[{"key":"R1-20260703","first-page":"88","article-title":"Management of chyle leak following head and neck surgery: Review of current treatment strategies and algorithmic approach to the treatment","volume":"61","author":"Leovi\u0107","year":"2022","journal-title":"Acta Clin Croat"},{"key":"R2-20260703","doi-asserted-by":"crossref","first-page":"135","DOI":"10.1097\/00000658-195107000-00018","article-title":"Bilateral chylothorax; an unusual complication of radical neck dissection with recovery","volume":"134","author":"Frazell","year":"1951","journal-title":"Ann Surg"},{"key":"R3-20260703","doi-asserted-by":"crossref","first-page":"204","DOI":"10.1016\/j.otpol.2014.03.003","article-title":"Chyle leak: A rare complication post-hemithyroidectomy. Case report and review of literature","volume":"68","author":"Rammal","year":"2014","journal-title":"Otolaryngol Pol"},{"key":"R5-20260703","doi-asserted-by":"crossref","first-page":"5978","DOI":"10.1007\/s12070-021-02648-z","article-title":"Management of Chyle leak after head and neck surgery; our meritorious experience in 52 cases and review of literature","volume":"74","author":"Nandy","year":"2022","journal-title":"Indian J Otolaryngol Head Neck Surg"},{"key":"R6-20260703","doi-asserted-by":"crossref","first-page":"255","DOI":"10.1159\/000328801","article-title":"Thoracic duct fistula after thyroid cancer surgery: Towards a new treatment?","volume":"4","author":"Rodier","year":"2011","journal-title":"Case Rep Oncol"},{"key":"R7-20260703","doi-asserted-by":"crossref","first-page":"379","DOI":"10.3390\/healthcare9040379","article-title":"Strategic approach to massive chylous leakage after neck dissection","volume":"9","author":"Chang","year":"2021","journal-title":"Healthcare (Basel)"},{"key":"R8-20260703","doi-asserted-by":"crossref","first-page":"737","DOI":"10.1016\/j.jobcr.2022.08.018","article-title":"Effect of octreotide in stopping post surgical chyle leak in neck dissection-a systematic review","volume":"12","author":"Magoo","year":"2022","journal-title":"J Oral Biol Craniofac Res"},{"key":"R9-20260703","doi-asserted-by":"crossref","first-page":"209","DOI":"10.11604\/pamj.2021.40.209.30496","article-title":"Management of chyle leak in right side neck dissection: A rare case and review of literature (a case report)","volume":"40","author":"Deshmukh","year":"2021","journal-title":"Pan Afr Med J"},{"key":"R10-20260703","first-page":"819","article-title":"Treatment options in patients with chylothorax","volume":"110","author":"Schild","year":"2013","journal-title":"Dtsch Arztebl Int"}],"container-title":["Annals of Maxillofacial Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.4103\/ams.ams_209_24","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,27]],"date-time":"2026-08-27T15:05:35Z","timestamp":1787843135000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.4103\/ams.ams_209_24"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,1]]},"references-count":9,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2026]]}},"URL":"https:\/\/doi.org\/10.4103\/ams.ams_209_24","relation":{},"ISSN":["2231-0746","2249-3816"],"issn-type":[{"value":"2231-0746","type":"print"},{"value":"2249-3816","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,1]]},"assertion":[{"value":"2024-11-21","name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-04-14","name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}}]}}