_Answering most asked questions concerning Head and Neck Lymphedema (HNL) - Nortonschool

1. Answering the Most Asked Questions Concerning Head and Neck Lymphedema (HNL) Lymphedema is often a side effect of cancer treatment, usually developing later in a variety of internal and external anatomical locations in the head and neck region. Secondary lymphedema of the head and neck occurs when there’s a disruption to the normal flow of lymph after surgery or radiation therapy. Impaired lymphatic function is typically exaggerated by scar tissue formation. Swelling can be severe, and it can cause disfigurement in patients with head and neck cancer. Lymphedema may affect their quality of life and cause functional problems. 5 common questions about head and neck lymphedema 1. Why is there an increased interest in head and neck lymphedema (HNL)? The last decade has seen a marked increase in the incidence of oropharyngeal cancer caused by HPV (human papillomavirus). HPV-positive oropharyngeal cancer is more common in younger and healthier patients and typically causes swallowing and communication impairments, shoulder and neck dysfunction, and lymphedema. These patients often expect speedier and successful rehabilitation from those issues so that they can resume their regular activities and restore their regular appearance. 2. How is HNL different from edema? Edema that happens after head and neck cancer treatment is often found in areas that have been affected directly by radiation treatment or surgery. Unlike limb edema after nodal dissections, the areas swelling in the neck and head are often damaged by surgery or directly radiated. Manual lymph drainage and compression are applied directly to irradiated tissues that show fibrosis over time. Sometimes, heavier

2. pressure may be used where increased tissue fibrosis exists to encourage drainage. HNL responds to treatment more quickly than edema in other areas, too. 3. Why does HNL respond faster? This is usually attributed to the amount of lymphatic fluid in the neck and face, which is less than the amount of lymph in an extremity. It also takes less time to drain and soften a smaller area. Some experts think that the onset of lymphedema treatment with regards to cancer treatment may also influence the response time. 4. What’s a typical approach to HNL? It depends on the patient’s medical history, the current overall level of function, and any contraindications to treatment. Therapists need to conduct intra-oral exams, tactile and visual assessments, and get photos and tape measurements of the neck and face. Therapists may also provide manual lymph drainage and compression. 5. Where can I find online lymphedema courses? Are you a speech-language pathologist or certified lymphedema therapist? Sign up for head and neck lymphedema courses at Norton School of Lymphatic Therapy. Our Evaluation and Management of Head and Neck Lymphedema course includes a basic review of lymphatic physiology and anatomy along with basic MLD techniques relevant to the neck and head. It will emphasize the performance of basic techniques for managing the patient with HNL.