Association between external and internal lymphedema and chronic dysphagia following head and neck cancer treatment

Claire Jeans; Elizabeth C. Ward; Bena Brown; Anne E. Vertigan; Amanda E. Pigott; Jodie L. Nixon; Chris Wratten; May Boggess

doi:10.1002/hed.26484

journal article Oct 01, 2020

Association between external and internal lymphedema and chronic dysphagia following head and neck cancer treatment

Claire Jeans

Elizabeth C. Ward

Bena Brown

Anne E. Vertigan Amanda E. Pigott Jodie L. Nixon Chris Wratten May Boggess

Head & Neck Vol. 43 No. 1 pp. 255-267 · Wiley

View at Publisher Save 10.1002/hed.26484

Abstract

AbstractBackgroundTo 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.MethodsSeventy‐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.ResultsHNL 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).ConclusionIncreased swallowing issues can be expected in patients presenting with more severe external HNL and/or internal HNL following HNC treatment.

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Details

Published: Oct 01, 2020
Vol/Issue: 43(1)
Pages: 255-267
License: View

Authors

C

Claire Jeans

Division of Speech Pathology School of Health and Rehabilitation Sciences, The University of Queensland Brisbane Queensland Australia; Speech Pathology Department Calvary Mater Newcastle Waratah New South Wales Australia

E

Elizabeth C. Ward

Division of Speech Pathology School of Health and Rehabilitation Sciences, The University of Queensland Brisbane Queensland Australia; Centre for Functioning and Health Research Metro South Health Services District, Queensland Health Buranda Queensland Australia

B

Bena Brown

Division of Speech Pathology School of Health and Rehabilitation Sciences, The University of Queensland Brisbane Queensland Australia; Centre for Functioning and Health Research Metro South Health Services District, Queensland Health Buranda Queensland Australia; Speech Pathology Department Princess Alexandra Hospital Woolloongabba Queensland Australia

A

Anne E. Vertigan

Speech Pathology Department John Hunter Hospital and Belmont Hospital New Lambton Heights New South Wales Australia; School of Medicine and Public Health The University of Newcastle Callaghan New South Wales Australia; Centre for Asthma and Respiratory Disease Hunter Medical Research Institute New Lambton Heights New South Wales Australia

A

Amanda E. Pigott

Centre for Functioning and Health Research Metro South Health Services District, Queensland Health Buranda Queensland Australia; Division of Occupational Therapy, School of Health and Rehabilitation Sciences The University of Queensland Brisbane Queensland Australia; Occupational Therapy Department Princess Alexandra Hospital Woolloongabba Queensland Australia

J

Jodie L. Nixon

Division of Occupational Therapy, School of Health and Rehabilitation Sciences The University of Queensland Brisbane Queensland Australia; Occupational Therapy Department Princess Alexandra Hospital Woolloongabba Queensland Australia

C

Chris Wratten

Radiation Oncology Department Calvary Mater Newcastle Waratah New South Wales Australia

M

May Boggess

School of Mathematical and Statistical Sciences Arizona State University Tempe Arizona USA

Funding

Hunter Cancer Research Alliance

Cite This Article

Claire Jeans, Elizabeth C. Ward, Bena Brown, et al. (2020). Association between external and internal lymphedema and chronic dysphagia following head and neck cancer treatment. Head & Neck, 43(1), 255-267. https://doi.org/10.1002/hed.26484

Association between external and internal lymphedema and chronic dysphagia following head and neck cancer treatment

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