lymphedema_of_the_head
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lymphedema_of_the_head [2012/06/23 08:13] Pat O'Connor [Lymphedema Online Support Groups] |
lymphedema_of_the_head [2012/10/16 14:40] (current) |
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| [By Elisa Becze, BA, ELS, ONS Staff Writer] | [By Elisa Becze, BA, ELS, ONS Staff Writer] | ||
| + | **π-Shaped lymphaticovenular anastomosis for head and neck lymphoedema: A preliminary study.** | ||
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| + | Oct 2012 | ||
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| + | Ayestaray B, Bekara F, Andreoletti JB. | ||
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| + | Source | ||
| + | Department of Plastic and Reconstructive Surgery, Nimes University Hospital, pl Pr Robert Debré, 30000 Nimes, France; Department of Plastic and Reconstructive Surgery, Breast Institute, 15, av Jean Jaurès, 90000 Belfort, France. Electronic address: bayestaray@yahoo.fr. | ||
| + | |||
| + | Abstract | ||
| + | |||
| + | BACKGROUND: | ||
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| + | Head and neck lymphoedema secondary to jugular lymphadenectomy is a severe issue, without efficient solution. Successful treatment of lymphoedema of the upper and lower limbs has become possible with supermicrosurgical lymphaticovenular anastomosis. The technique based on two end-to-side anastomosis is named π-shaped lymphaticovenular anastomosis. We have evaluated this method for chronic head and neck lymphoedema. | ||
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| + | METHODS: | ||
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| + | From November 2010 to April 2011, four patients with a chronic head and neck lymphoedema were treated by π-shaped lymphaticovenular anastomosis. Three patients had a unilateral lymphoedema, and one patient had a bilateral lymphoedema. The mean age of the patients was 63.2 years (range, 46-77 years). The mean duration of the lymphoedema was 2.6 years (range, 1-5). Every patient was operated under local anaesthesia through a face-lift skin incision. One π-shaped lymphaticovenular anastomosis was performed at each operative site. | ||
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| + | RESULTS: | ||
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| + | The average operative time to perform one π-shaped lymphaticovenular anastomosis was 1.9 h (range, 1.8-2.5). The calibre of lymphatic vessels used for lymphaticovenular anastomosis ranged from 0.3 to 0.7 mm (average, 0.5). A venous back-flow was found in seven lymphaticovenular anastomosis (70%). Three patients (75%) had a qualitative improvement of skin tissue and a significant circumferential reduction after surgery. The average circumferential differential reduction rate was 3.7% (range, 0.6-7.8) (p = 0.006). The average cross-sectional area differential reduction rate was 7.2% (range, 1.2-15.1) (p = 0.007). The average volume differential reduction rate was 6.9% (range, 2-14.8) (p = 0.05). | ||
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| + | CONCLUSIONS: | ||
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| + | The authors present a new option to treat head and neck lymphoedema. π-Shaped lymphaticovenular anastomosis is an effective method to reduce the severity of skin tissue fibrosis and lymphoedema volume. Further studies with larger groups of patients are required to confirm the outcome of this preliminary study. EBM Level = level 4. | ||
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| + | [[http://www.jprasurg.com/article/S1748-6815(12)00508-6/abstract|Journal of Plastic, Reconstructive & Aesthetic Surgery]] | ||
| ======Abstracts and Studies====== | ======Abstracts and Studies====== | ||
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| + | **Impact of secondary lymphedema after head and neck cancer treatment on symptoms, functional status, and quality of life.** | ||
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| + | Deng J, Murphy BA, Dietrich MS, Wells N, Wallston KA, Sinard RJ, Cmelak AJ, Gilbert J, Ridner SH. | ||
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| + | Source | ||
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| + | School of Nursing, Vanderbilt University, Nashville, Tennessee. [[jie.deng@vanderbilt.edu]]. | ||
| + | |||
| + | Abstract | ||
| + | |||
| + | BACKGROUND: | ||
| + | Lymphedema may disrupt local function and affect quality of life (QOL) in patients with head and neck cancer. The purpose of this study was to examine the associations among severity of internal and external lymphedema, symptoms, functional status, and QOL in patients with head and neck cancer. | ||
| + | |||
| + | METHODS: | ||
| + | The sample included 103 patients who were ≥3 months after head and neck cancer treatment. Variables assessed included severity of internal and external lymphedema, physical/psychological symptoms, functional status, and QOL. | ||
| + | |||
| + | RESULTS: | ||
| + | Severity of internal and external lymphedema was associated with physical symptoms and psychological symptoms. Patients with more severe external lymphedema were more likely to have a decrease in neck left/right rotation. The combined effects of external and internal lymphedema severity were associated with hearing impairment and decreased QOL. | ||
| + | |||
| + | CONCLUSIONS: | ||
| + | Lymphedema severity correlates with symptom burden, functional status, and QOL in patients after head and neck cancer treatment. Head Neck, 2012. | ||
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| + | [[http://www.ncbi.nlm.nih.gov/pubmed/22791550|PubMed]] | ||
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| + | ------ | ||
| **Factors Associated With External and Internal Lymphedema in Patients With Head-and-Neck Cancer** | **Factors Associated With External and Internal Lymphedema in Patients With Head-and-Neck Cancer** | ||
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| [[http://www.redjournal.org/article/S0360-3016(12)00560-3/abstract|Radiation Oncology]] | [[http://www.redjournal.org/article/S0360-3016(12)00560-3/abstract|Radiation Oncology]] | ||
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| + | ------ | ||
| **Cutaneous lymphatics and chronic lymphedema of the head and neck.** | **Cutaneous lymphatics and chronic lymphedema of the head and neck.** | ||
lymphedema_of_the_head.1340464403.txt.gz · Last modified: 2012/10/16 14:01 (external edit)
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