{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,5,10]],"date-time":"2025-05-10T04:52:04Z","timestamp":1746852724629,"version":"3.37.3"},"reference-count":24,"publisher":"Georg Thieme Verlag KG","issue":"02","license":[{"start":{"date-parts":[[2023,4,28]],"date-time":"2023-04-28T00:00:00Z","timestamp":1682640000000},"content-version":"vor","delay-in-days":27,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Int Arch Otorhinolaryngol"],"published-print":{"date-parts":[[2023,4]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>\n          Introduction\u2003Head and neck lymphedema is an omnipresent morbidity related to head and neck cancer therapies. Studies on therapy for these patients in the acute postsurgical population have not been published to date.<\/jats:p><jats:p>\n          Objective\u2003To assess changes in the measurements of lymphedema in surgical head and neck cancer patients during the hospital stay with implementation of modified decongestive therapy (MDT).<\/jats:p><jats:p>\n          Methods\u2003Patients aged\u2009&gt;\u200918 years undergoing neck dissection with or without primary-site resection or laryngectomy between 2016 and 2019 were included. Facial measurements were obtained prior to beginning MDT and again prior to discharge. A total facial composite measurement was calculated and used to assess change over time. Rates \u2265 2% of change were considered significant.<\/jats:p><jats:p>\n          Results\u2003A total of 38 patients were included (subsites: larynx\u2009=\u200927; thyroid\u2009=\u20094; oral cavity\u2009=\u20093; and neck\u2009=\u20094). The mean number of days between surgery and the start of lymphedema therapy was 3.0 days. The mean number of days between measurements was 5.2 days. Reduction in the total composite score was observed in 37 (97%) patients, and 35 (92%) patients had a total composite reduction score\u2009&gt;\u20092%. Tumor subsite and surgery type did not portend toward greater percent change, except for those patients treated with total laryngectomy, regional flap reconstruction, and neck dissection (p\u2009=\u20090.02).<\/jats:p><jats:p>\n          Conclusion\u2003Acute postsurgical inpatient MDT was associated with reduced total composite measurements in patients after head and neck surgery. As the first published study on lymphedema therapy in this acute postsurgical period, further prospective case-control studies are warranted to explore further benefits of acute therapy.<\/jats:p>","DOI":"10.1055\/s-0042-1745726","type":"journal-article","created":{"date-parts":[[2023,4,28]],"date-time":"2023-04-28T22:35:22Z","timestamp":1682721322000},"page":"e329-e335","source":"Crossref","is-referenced-by-count":3,"title":["Inpatient Decongestive Therapy for Lymphedema in Acute Postsurgical Head and Neck Cancer Patients*"],"prefix":"10.1055","volume":"27","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5421-1928","authenticated-orcid":false,"given":"John Christian","family":"Lemoine","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology, School of Medicine, Louisiana State University Health Sciences Center, New Orleans, Louisiana, United States"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Vilija","family":"Vaitaitis","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology \u2013 Head & Neck Surgery, School of Medicine, Louisiana State University Health Sciences Center, New Orleans, Louisiana, United States"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Trisha","family":"Jarreau","sequence":"additional","affiliation":[{"name":"Department of Speech and Language Pathology, Our Lady of the Lake Regional Medical Center, Baton Rouge, Louisiana, United States"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Joel St.","family":"Germain","sequence":"additional","affiliation":[{"name":"Department of Speech and Language Pathology, Our Lady of the Lake Regional Medical Center, Baton Rouge, Louisiana, United States"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7854-349X","authenticated-orcid":false,"given":"Leslie","family":"Son","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology, Our Lady of the Lake Regional Medical Center, Louisiana, United States"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anna M.","family":"Pou","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology, Ochsner Health Center \u2013 Covington, Covington, Louisiana, United States"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2475-8479","authenticated-orcid":false,"given":"Ashley","family":"Mays","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology \u2013 Head & Neck Surgery, School of Medicine, Louisiana State University Health Sciences Center, New Orleans, Louisiana, United States"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2023,4,28]]},"reference":[{"issue":"01","key":"ref1","doi-asserted-by":"crossref","first-page":"7","DOI":"10.3322\/caac.21654","article-title":"Cancer Statistics, 2021","volume":"71","author":"R L Siegel","year":"2021","journal-title":"CA Cancer J Clin"},{"issue":"05","key":"ref2","doi-asserted-by":"crossref","first-page":"761","DOI":"10.1016\/j.amjoto.2019.05.024","article-title":"Treatment for lymphedema following head and neck cancer therapy: A systematic review","volume":"40","author":"A Tyker","year":"2019","journal-title":"Am J Otolaryngol"},{"issue":"02","key":"ref3","doi-asserted-by":"crossref","first-page":"284","DOI":"10.1177\/0194599814558402","article-title":"Lymphedema outcomes in patients with head and neck cancer","volume":"152","author":"B G Smith","year":"2015","journal-title":"Otolaryngol Head Neck Surg"},{"key":"ref4","first-page":"224","volume-title":"Lymphostatic diseases","author":"M Foldi","year":"2006"},{"key":"ref5","first-page":"526","volume-title":"Practical instructions for therapists: manual lymph drainage according to Dr. E. 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