- Title
- Association between external and internal lymphedema and chronic dysphagia following head and neck cancer treatment
- Creator
- Jeans, Claire; Ward, Elizabeth C.; Brown, Bena; Vertigan, Anne E.; Pigott, Amanda E.; Nixon, Jodie L.; Wratten, Chris; Boggess, May
- Relation
- Head & Neck: journal of the sciences and specialities of the head and neck Vol. 43, Issue 1, p. 255-267
- Publisher Link
- http://dx.doi.org/10.1002/hed.26484
- Publisher
- Wiley-Blackwell
- Resource Type
- journal article
- Date
- 2021
- Description
- Background: To examine the relationship between chronic external and internal head and neck lymphedema (HNL) and swallowing function in patients following head and neck cancer (HNC) treatment. Methods: Seventy-nine participants, 1-3 years post treatment were assessed for external HNL using the MD Anderson Cancer Centre Lymphedema Rating Scale, and internal HNL using Patterson's Radiotherapy Edema Rating Scale. Swallowing was assessed via instrumental, clinical and patient-reported outcome measures. Results: HNL presented as internal only (68%), combined external/internal (29%), and external only (1%). Laryngeal penetration/aspiration was confirmed in 20%. Stepwise multivariable regression models, that accounted for primary site, revealed that a higher severity of external HNL and internal HNL was associated with more severe penetration/aspiration (P <.004 and P =.006, respectively), diet modification (P <.001 both), and poorer patient-reported outcomes (P =.037 and P =.014, respectively). Conclusion: Increased swallowing issues can be expected in patients presenting with more severe external HNL and/or internal HNL following HNC treatment.
- Subject
- aspiration; dysphagia; head and neck cancer; lymphedema; radiotherapy; Sustainable Development Goals; SDG 7; SDG 3
- Identifier
- http://hdl.handle.net/1959.13/1425462
- Identifier
- uon:38251
- Identifier
- ISSN:1043-3074
- Rights
- Jeans, Claire; Ward, Elizabeth C.; Brown, Bena; Vertigan, Anne E.; Pigott, Amanda E.; Nixon, Jodie L.; Wratten, Chris; Boggess, May. “Association between external and internal lymphedema and chronic dysphagia following head and neck cancer treatment”. Head & Neck: journal of the sciences and specialities of the head and neck Vol. 43, Issue 1, p. 255-267 (2021), which has been published in final form at http://dx.doi.org/10.1002/hed.26484. This article may be used for non-commercial purposes in accordance with Wiley Terms and Conditions for Use of Self-Archived Versions. This article may not be enhanced, enriched or otherwise transformed into a derivative work, without express permission from Wiley or by statutory rights under applicable legislation. Copyright notices must not be removed, obscured or modified. The article must be linked to Wiley’s version of record on Wiley Online Library and any embedding, framing or otherwise making available the article or pages thereof by third parties from platforms, services and websites other than Wiley Online Library must be prohibited.
- Language
- eng
- Full Text
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