Pediatric lymphedema caused by diffuse cervical lymphadenopathy: A case report and review of the literature

Gitomer, Sarah A.; Giannoni, Carla M.; Canadas, Karina

doi:10.1016/j.ijporl.2016.05.028

Cited by 3 publications

(3 citation statements)

References 15 publications

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“…Primary pediatric lymphedema is commonly seen in female children and some studies reported the ratio of female pediatric lymphedema as 59%–78% [ 3 , 5 , 20 , 21 – 26 ]. In our study group, the distribution of female and male children with primary lymphedema was comparable with a ratio of 54/46.…”

Section: Discussionmentioning

confidence: 99%

“…Lymphedema is a chronic condition and several complications including pain, infection, wounds, lymphorrhea, may develop and lead to physical disabilities [ 1 – 3 ]. A common complication of pediatric lymphedema is the repeated attacks of cellulitis and lymphangitis which was reported in 12%–22% of cases with primary lymphedema [ 3 , 5 , 18 – 21 ]. A previous study [ 18 ] reported complications of lymphedema in 73% of their patients, most commonly as fibrosis followed by cellulitis and pain.…”

Section: Discussionmentioning

confidence: 99%

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The clinical and demographical characteristics of Turkish pediatric lymphedema patients: a multicenter study

BORMAN¹,

BALCAN²,

EYİGÖR³

et al. 2022

Turkish Journal of Medical Sciences

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Background/aim Reducing lymphedema-associated burden and disability in the pediatric setting requires improved awareness and understanding clinical properties of the lymphedema. The aim of this study was to evaluate the clinical and demographic characteristics of patients with pediatric lymphedema presented to different lymphedema centers in Turkey. Materials and methods The socio-demographic and clinical characteristics of the children including age, gender, presence of genetic syndromes, duration of edema, site and stage of lymphedema and the received therapies were determined. Parental and children education on self-management techniques were recorded. Results A total of 122 children (female: 66, male: 56) with a mean age of 120.7 ± 71.2 months were included from 7 centers. Of them; 92% had primary, 8% had secondary lymphedema mostly due to infection and trauma. Lymphedema was part of a syndrome in 18% of the children. The most common site of involvement was the lower extremity, followed by upper extremity and genital involvement. Lymphedema was complicated in 17 % of children, mainly with a clinical picture of cellulitis, infection, and pain. The median duration of lymphedema was 41 (5–216) months. Although most of the children had stage 2 lymphedema, only 40% of them received treatment. The most commonly received treatment was compression therapy. No family or child was educated for self-care management before. Conclusion In conclusion, pediatric lymphedema has a comparable gender distribution and usually involves the lower extremities. Although most of the children had advanced disease, more than half of the patients did not receive any treatment indicating the unmet need for management of lymphedema. The education of patients and/or children about self-management methods were lacking. We suggest educational activities for both families of children with lymphedema and health care providers, in order to facilitate early reference to lymphedema units and to receive prompt preventive and therapeutic approaches for this suffering condition.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

The clinical and demographical characteristics of Turkish pediatric lymphedema patients: a multicenter study

BORMAN¹,

BALCAN²,

EYİGÖR³

et al. 2022

Turkish Journal of Medical Sciences

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“…Patients with oral cancers that have been treated with neck dissection and free flap followed by chemotherapy can re-present with massive face and neck swelling [2]. This is thought to be due to secondary lymphoedema arising as a result of damage to the local lymphatic system during tumour resection [3]. Sometimes, this swelling can progress to the point where it creates serious functional problems such as airway obstruction.…”

Section: Introductionmentioning

confidence: 99%

Combined use of a videolaryngoscope and a flexible bronchoscope for awake tracheal intubation when front‐of‐neck airway is not an option*

Khan

Shamim

Slote

et al. 2021

Anaesthesia Reports

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We report a case of successful tracheal intubation with the combined use of a videolaryngoscope and flexible bronchoscope in a patient with difficult airway when both techniques had individually failed. A 35-year-old man presented with airway obstruction due to massive neck swelling causing hypoxia, stridor and respiratory distress. He had a history of oral cancer which had been resected with bilateral neck dissection and free flap reconstruction 2 months previously. Due to extensive anterior neck swelling, we judged that front-of-neck airway would not be a suitable approach. After unsuccessful attempts at awake tracheal intubation with videolaryngoscopy and flexible bronchoscopy separately, we combined both techniques with a successful outcome. By using a combined technique to address the specific problems presented by this case, a lifethreatening emergency was resolved. This case highlights why it is useful for anaesthetists to be familiar with multiple techniques to awake tracheal intubation, both individually and in combination.

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Blepharochalasis: A rare cause of eye swelling

Paul

Geller

Nowak‐Węgrzyn

2017

Annals of Allergy, Asthma & Immunology

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Pediatric lymphedema caused by diffuse cervical lymphadenopathy: A case report and review of the literature

Cited by 3 publications

References 15 publications

The clinical and demographical characteristics of Turkish pediatric lymphedema patients: a multicenter study

The clinical and demographical characteristics of Turkish pediatric lymphedema patients: a multicenter study

Combined use of a videolaryngoscope and a flexible bronchoscope for awake tracheal intubation when front‐of‐neck airway is not an option*

Blepharochalasis: A rare cause of eye swelling

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