Comparing the prevalence, location, and severity of head and neck lymphedema after postoperative radiotherapy for oral cavity cancers and definitive chemoradiotherapy for oropharyngeal, laryngeal, and hypopharyngeal cancers

Jeans, Claire; Brown, Bena; Ward, Elizabeth C.; Vertigan, Anne E.; Pigott, Amanda; Nixon, James W.; Wratten, Chris

doi:10.1002/hed.26394

Cited by 23 publications

(28 citation statements)

References 30 publications

(81 reference statements)

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“…Unlike for external lymphedema, there is relative consensus in the literature on the optimal grading criteria for assessment of internal lymphedema, with the Patterson Edema Scale selected as the reference tool in the vast majority of studies in the last decade. [1][2][3]8,14,[32][33][34][48][49][50][51][52][53] An alternative, the Late Effects Normal Tissue-Subjective, Objective, Management, Analytic (LENT-SOMA) Scale, was utilized in several earlier papers but does not take into account pharyngeal lymphedema and has received less attention. 37,38 The Patterson Scale assesses 11 structures and 2 spaces, with a rating from normal to severe.…”

Section: Clinician-reported Assessment Methods: Rating Scalesmentioning

confidence: 99%

“…The reported prevalence of secondary HNL in patients treated for HNC varies greatly due to methodological differences between studies, with estimates ranging from 12% to as high as 90%. [1][2][3][4][5][6] Both neck dissection and radiotherapy have been implicated in the development of secondary HNL, with the use of multiple treatment modalities conferring a particularly increased risk. [6][7][8][9][10] HNL is thought to occur due to treatment-related injury to the head and neck lymphatics, resulting in a disruption of normal lymphatic drainage and an accumulation of lymph fluid in the interstitial space.…”

Section: Introductionmentioning

confidence: 99%

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Systematic review of head and neck lymphedema assessment

et al. 2022

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Head and neck lymphedema (HNL) is an increasingly recognized complication of head and neck cancer and its treatment. However, no consensus exists on the "gold-standard" assessment tool for the purposes of diagnosis, classification, or monitoring of HNL. We conducted a systematic review of the literature regarding HNL assessment to determine the optimal method/s of assessment for patients with HNL. A review of publications between January 2000 and September 2021 was undertaken on four electronic databases. Studies were excluded if no clear assessment method of HNL was documented. Sixty-seven articles were included in the study. A wide range of assessment methods for HNL have been reported in the literature. For the purposes of diagnosis and classification of physical findings, computed tomography (CT) appears the most promising tool available for both external and internal HNL. In terms of monitoring, ultrasound appears optimal for external HNL, while a clinicianreported rating scale on laryngoscopy is the gold standard for internal HNL.

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Section: Clinician-reported Assessment Methods: Rating Scalesmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Systematic review of head and neck lymphedema assessment

et al. 2022

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“…Chronic lymphoedema is seen in a high proportion of patients with head and neck cancer after (chemo)radiation and this is reported in up to 98% of patients with more or less severity (20).…”

Section: Lymphoedemamentioning

confidence: 99%

Palliative Care and End-of-Life Issues in Elderly Cancer Patients With Head and Neck Cancer

Schrijvers

Charlton

2022

Front. Oncol.

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The number of elderly patients with incurable head and neck cancer will increase. They are in need of geriatric palliative care, that takes into account oncology, palliative care and geriatric medicine. In this review of the most recent and relevant literature and includes the expert opinion of the authors, several physical problems (e.g. pain, fatigue, malnutrition, and loco-regional problems) encountered by the elderly head and neck cancer patients are addressed. In addition end-of life issues in this patient population are discussed.

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confidence: 99%

“…1,2 Head and neck lymphedema (HNL) can occur externally (ie, swelling underneath the skin in the submental region and neck) or internally (ie, swelling of the oral cavity and pharynx), or both. 1,2 Because of the unique features of HNL in comparison with lymphedema in other regions of the body, different methods are needed for assessment. The aim of this Research Round-Up is to provide an overview of the psychometric properties of assessment methods of HNL.…”

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confidence: 99%

Head and Neck Lymphedema Assessment Methods

Spinelli¹

2021

Rehabilitation Oncology

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Lymphedema is a common side effect of head and neck cancer (HNC) treatment. 1,2 Head and neck lymphedema (HNL) can occur externally (ie, swelling underneath the skin in the submental region and neck) or internally (ie, swelling of the oral cavity and pharynx), or both. 1,2 Because of the unique features of HNL in comparison with lymphedema in other regions of the body, different methods are needed for assessment. The aim of this Research Round-Up is to provide an overview of the psychometric properties of assessment methods of HNL. Assessment methods of HNL can be categorized as follows: (1) patient-reported; (2) clinician-reported; and (3) objective. 3 The Lymphedema Symptom Intensity & Distress Survey-Head and Neck (LSIDS-H&N) is a patientreported measure designed to capture symptom burden and functional loss related to lymphedema and fibrosis in survivors of HNC. 4,5 The original version contained 67 items related to sensations within head and neck region (ie, tightness, stiffness, tingling, pain), psychosocial issues (ie, concern about how you look, decreased social activity, problems driving, problems wearing certain clothes), head and neck functional impairments and symptom burden (ie, problems swallowing, voice changes, sinus congestion), and perception of tissue swelling (ie, swelling in the face, neck, and tongue). 5 All items ask whether symptom is experienced in the past week. If yes, then patients rate the severity and degree of distress using a numeric rating scale from 1 (slight) to 10 (severe) for

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Comparing the prevalence, location, and severity of head and neck lymphedema after postoperative radiotherapy for oral cavity cancers and definitive chemoradiotherapy for oropharyngeal, laryngeal, and hypopharyngeal cancers

Cited by 23 publications

References 30 publications

Systematic review of head and neck lymphedema assessment

Systematic review of head and neck lymphedema assessment

Palliative Care and End-of-Life Issues in Elderly Cancer Patients With Head and Neck Cancer

Head and Neck Lymphedema Assessment Methods

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