Expert consensus on clinical nutrition management of chyle leakage in neck dissection of patients with oral and maxillofacial malignant tumors

doi:10.19438/j.cjoms.2025.05.001

China Journal of Oral and Maxillofacial Surgery ›› 2025, Vol. 23 ›› Issue (5): 425-433.doi: 10.19438/j.cjoms.2025.05.001

• Expert Consensus • Previous Articles Next Articles

Expert consensus on clinical nutrition management of chyle leakage in neck dissection of patients with oral and maxillofacial malignant tumors

Huang Qiuyu¹, Wang Shuai¹, He Yue², Zheng Jiawei², Peng Xin³, Liu Bing⁴, Li Yi⁵, Wang Anxun⁶, Liu Xiqiang⁷, Chen Chuanjun⁸, Bi Xiaoqin⁹, Yang Yue³, Wu Hongmei¹⁰, Ye Yanbin¹¹, Xiao Wei¹², Chen Yunmei⁶, Zhao Fang⁷, Li Yan'e¹³, Zhou Tao¹⁴, He Xingfang¹, Wang Cheng¹⁵, Ye Jingjing¹, Wang Xiaoling¹⁶, Chen Chaogang¹⁵, Hou Jinsong¹

1. Department of Oral and Maxillofacial Surgery, Hospital of Stomatology, Sun Yat-sen University; Guangdong Provincial Key Laboratory of Stomatology; Institute of Stomatology, Sun Yat-sen University. Guangzhou 510055, Guangdong Province;
2. Department of Oromaxillofacial Head and Neck Oncology, Shanghai Ninth People's Hospital, Shanghai Jiao Tong University School of Medicine. Shanghai 200011;
3. Department of Oral and Maxillofacial Surgery, School and Hospital of Stomatology, Peking University. Beijing 100081;
4. Department of Oral and Maxillofacial Head and Neck Oncology, School and Hospital of Stomatology, Wuhan University. Wuhan 430079, Hubei Province;
5. Department of Oral and Maxillofacial Surgery, Hospital of Stomatology, Chongqing Medical University. Chongqing 401147;
6. Department of Oral and Maxillofacial Surgery, The First Affiliated Hospital of Sun Yat-sen University. Guangzhou 510080, Guangdong Province;
7. Department of Stomatology, Nanfang Hospital, Southern Medical University. Guangzhou 510515, Guangdong Province;
8. Department of Oral and Maxillofacial Surgery, The First Affiliated Hospital of University of Science and Technology of China. Hefei 230001, Anhui Province;
9. Department of Head and Neck Oncology, West China Hospital of Stomatology, Sichuan University. Chengdu 610041, Sichuan Province;
10. Department of Nursing, Stomatological Hospital Affiliated to Nanjing Medical University. Nanjing 210029, Jiangsu Province;
11. Department of Clinical Nutrition, the First Affiliated Hospital of Jinan University. Guangzhou 510630, Guangdong Province;
12. Department of Nursing, School and Hospital of Stomatology, Guangzhou Medical University. Guangzhou 510140, Guangdong Province;
13. Department of Oral and Maxillofacial Surgery, Guangdong Provincial People's Hospital (Guangdong Academy of Medical Sciences), Southern Medical University. Guangzhou 510080, Guangdong Province;
14. Department of Oral and Maxillofacial Surgery, Peking University Shenzhen Hospital. Shenzhen 518036, Guangdong Province;
15. Department of Clinical Nutrition, Sun Yat-sen Memorial Hospital, Sun Yat-sen University. Guangzhou 510120, Guangdong Province;
16. Department of Clinical Nutrition, The Eighth Affiliated Hospital, Sun Yat-sen University. Shenzhen 518033, Guangdong Province, China

Received:2025-02-12 Revised:2025-03-25 Published:2025-10-10

Abstract

Abstract: The treatment of chyle leakage primarily relies on conservative approaches, with clinical nutrition management being a crucial component that significantly contributes to the rapid recovery of chyle leakage patients. Currently, the clinical nutrition management strategies for chyle leakage following neck dissection in patients with oral and maxillofacial malignant tumors vary across different medical institutions, and there is a lack of widely accepted and standardized management procedures. To standardize the clinical nutrition management of chyle leakage after neck dissection in patients with oral and maxillofacial malignant tumors, promote rapid recovery, and improve health outcomes, our team developed the expert consensus on clinical nutrition management of chyle leakage in neck dissection of patients with oral and maxillofacial malignant tumors. The consensus was developed based on the best available literature and the collective opinions of multidisciplinary experts from 21 medical colleges and affiliated hospitals in China. The consensus not only focused on clinical nutrition management, but also provided essential information on the etiology of chyle leakage. Additionally, it covered intraoperative prevention, diagnosis, monitoring of complications, conventional conservative treatment, and surgical treatment as necessary.

Key words: Oral and maxillofacial tumor, Neck dissection, Chyle leakage, Nutrition management, Conservative treatments, Expert consensus

CLC Number:

R739.8

Huang Qiuyu, Wang Shuai, He Yue, Zheng Jiawei, Peng Xin, Liu Bing, Li Yi, Wang Anxun, Liu Xiqiang, Chen Chuanjun, Bi Xiaoqin, Yang Yue, Wu Hongmei, Ye Yanbin, Xiao Wei, Chen Yunmei, Zhao Fang, Li Yan'e, Zhou Tao, He Xingfang, Wang Cheng, Ye Jingjing, Wang Xiaoling, Chen Chaogang, Hou Jinsong. Expert consensus on clinical nutrition management of chyle leakage in neck dissection of patients with oral and maxillofacial malignant tumors[J]. China Journal of Oral and Maxillofacial Surgery, 2025, 23(5): 425-433.

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Expert consensus on clinical nutrition management of chyle leakage in neck dissection of patients with oral and maxillofacial malignant tumors

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