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Head and Neck LYMPHEDEMA

Lymphedema Definition . Abnormal accumulation of fluid in the tissues of the head and neck due to damage to the lymphatic system. The lymphatic system is compromised and unable to maintain the fluid balance in the tissues resulting in excess edema or swelling.. Lymphedema and Oncology . Sur

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Head and Neck LYMPHEDEMA

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    1. Head and Neck LYMPHEDEMA

    2. Lymphedema Definition Abnormal accumulation of fluid in the tissues of the head and neck due to damage to the lymphatic system. The lymphatic system is compromised and unable to maintain the fluid balance in the tissues resulting in excess edema or swelling.

    3. Lymphedema and Oncology Surgery – damages and removes lymphatic nodes and vessels, scarring and adhesions (Neck dissection = removal of lymph nodes) Radiation – destroys lymph nodes, scarring and fibrosis of lymph structures and tissue Infection – scarring and fibrosis of lymph vessels, immune system compromise

    5. SYMPTOMS Swelling may result in protein accumulation causing progressive tissue changes. Lymphatic system does not grow new nodes Lymph fluid slowly accumulates Soft and thick tissues, may become hard, dense, and fibrotic.

    6. SYMPTOMS Swelling in face, head, and neck(characteristic waddle and jowls) Neck stiffness and poor mobility due to scarring Limited arm and shoulder function Poor posture Difficulty with swallowing, talking, headaches, vision, sleeping position, pain

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    8. GOALS Reduction of swelling to restore function and improve cosmetic appearance Increase lymph flow utilizing remaining vessels and other lymphatic pathways Prevent re-accumulation of lymph fluid Eliminate fibrotic tissue Prevent & eliminate infections

    9. MLD-Manual Lymph Drainage Compression- bandaging, head band, facemask Exercise, posture, positioning, breathing Self-care techniques Lifestyle modifications for long term success Complete Decongestive Therapy

    10. EXERCISE Increase in lymph flow & a dilation of lymph vessels Improves lymph circulation & lymph vessel activity Abdominal breathing exercises create suction effect

    11. EXERCISE Stretching exercises promote drainage by alleviating restrictions Strengthening exercises uses muscle contraction to pump fluid Cardiovascular exercises increases lymph flow (negative pressure gradient) Posture and Positioning minimizes pooling effects of gravity and promotes drainage

    12. COMPRESSION Compression worn as much as possible and especially during the night Head and neck piece made of compressive fabric to apply light compression to tissue Transitional compression bandages, head pieces worn initially Final garment after limb volume reduction

    13. COMPRESSION GARMENTS

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