Submental liposuction for the management of lymphedema following head and neck cancer treatment: a randomized controlled trial
Abstract Background Patients who have undergone treatment for head and neck cancer are at risk for neck lymphedema, which can severely affect quality of life. Liposuction has been used successfully in cancer patients who suffer from post-treatment limb lymphedema. The purpose of our study was to rev...
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| Format: | Article |
| Language: | English |
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SAGE Publishing
2018-03-01
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| Series: | Journal of Otolaryngology - Head and Neck Surgery |
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| Online Access: | http://link.springer.com/article/10.1186/s40463-018-0263-1 |
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| author | Uthman Alamoudi Benjamin Taylor Colin MacKay Matthew H. Rigby Robert Hart Jonathan R. B. Trites S. Mark Taylor |
| author_facet | Uthman Alamoudi Benjamin Taylor Colin MacKay Matthew H. Rigby Robert Hart Jonathan R. B. Trites S. Mark Taylor |
| author_sort | Uthman Alamoudi |
| collection | DOAJ |
| description | Abstract Background Patients who have undergone treatment for head and neck cancer are at risk for neck lymphedema, which can severely affect quality of life. Liposuction has been used successfully in cancer patients who suffer from post-treatment limb lymphedema. The purpose of our study was to review the outcomes of head and neck cancer patients at our center who have undergone submental liposuction for post-treatment lymphedema and compare their subsequent results with a control group. Methods All head and neck cancer patients at an oncology center in tertiary hospital setting who complained to their attending surgeon or radiation oncologist regarding cervical lymphedema secondary to head and neck cancer treatment, and had been disease-free for a minimum of one year, with no previous facial plastic surgical procedures were eligible for inclusion into the study. Study design was a non-blinded randomized controlled trial. Twenty patients were randomized into a treatment arm (underwent submental liposuction n = 10) and control arm (n = 10). Both groups of patients completed two surveys (Modified Blepharoplasty Outcome Evaluation and the validated Derriford Appearance Scale) on initial office visit after consenting for the trial. The treatment group then completed the surveys 6 months post-operatively while the control group filled the surveys 6 months after the initial assessment but had no intervention. Mann-Whitney U tests were performed to compare the responses of those that did and did not receive liposuction. Results Our study demonstrated a statistically significant improvement in patients’ self-perception of appearance and statistically significant subjective scoring of appearance following submental liposuction. Conclusions Submental liposuction is an effective and safe procedure to improves the quality of life for head and neck cancer patients suffering from post-treatment lymphedema. |
| format | Article |
| id | doaj-art-86d7db4ea68049d1aa9f9b028ec3a603 |
| institution | Kabale University |
| issn | 1916-0216 |
| language | English |
| publishDate | 2018-03-01 |
| publisher | SAGE Publishing |
| record_format | Article |
| series | Journal of Otolaryngology - Head and Neck Surgery |
| spelling | doaj-art-86d7db4ea68049d1aa9f9b028ec3a6032025-02-03T10:54:13ZengSAGE PublishingJournal of Otolaryngology - Head and Neck Surgery1916-02162018-03-014711710.1186/s40463-018-0263-1Submental liposuction for the management of lymphedema following head and neck cancer treatment: a randomized controlled trialUthman Alamoudi0Benjamin Taylor1Colin MacKay2Matthew H. Rigby3Robert Hart4Jonathan R. B. Trites5S. Mark Taylor6Division of Otolaryngology – Head and Neck Surgery, Dalhousie UniversityDivision of Otolaryngology – Head and Neck Surgery, Hail UniversityDivision of Otolaryngology, Victoria General Hospital, Dalhousie UniversityDivision of Otolaryngology – Head and Neck Surgery, Dalhousie UniversityDivision of Otolaryngology – Head and Neck Surgery, Dalhousie UniversityDivision of Otolaryngology – Head and Neck Surgery, Dalhousie UniversityDivision of Otolaryngology – Head and Neck Surgery, Dalhousie UniversityAbstract Background Patients who have undergone treatment for head and neck cancer are at risk for neck lymphedema, which can severely affect quality of life. Liposuction has been used successfully in cancer patients who suffer from post-treatment limb lymphedema. The purpose of our study was to review the outcomes of head and neck cancer patients at our center who have undergone submental liposuction for post-treatment lymphedema and compare their subsequent results with a control group. Methods All head and neck cancer patients at an oncology center in tertiary hospital setting who complained to their attending surgeon or radiation oncologist regarding cervical lymphedema secondary to head and neck cancer treatment, and had been disease-free for a minimum of one year, with no previous facial plastic surgical procedures were eligible for inclusion into the study. Study design was a non-blinded randomized controlled trial. Twenty patients were randomized into a treatment arm (underwent submental liposuction n = 10) and control arm (n = 10). Both groups of patients completed two surveys (Modified Blepharoplasty Outcome Evaluation and the validated Derriford Appearance Scale) on initial office visit after consenting for the trial. The treatment group then completed the surveys 6 months post-operatively while the control group filled the surveys 6 months after the initial assessment but had no intervention. Mann-Whitney U tests were performed to compare the responses of those that did and did not receive liposuction. Results Our study demonstrated a statistically significant improvement in patients’ self-perception of appearance and statistically significant subjective scoring of appearance following submental liposuction. Conclusions Submental liposuction is an effective and safe procedure to improves the quality of life for head and neck cancer patients suffering from post-treatment lymphedema.http://link.springer.com/article/10.1186/s40463-018-0263-1LiposuctionSubmentalCervicalLymphedemaHead and neckSelf-perception |
| spellingShingle | Uthman Alamoudi Benjamin Taylor Colin MacKay Matthew H. Rigby Robert Hart Jonathan R. B. Trites S. Mark Taylor Submental liposuction for the management of lymphedema following head and neck cancer treatment: a randomized controlled trial Journal of Otolaryngology - Head and Neck Surgery Liposuction Submental Cervical Lymphedema Head and neck Self-perception |
| title | Submental liposuction for the management of lymphedema following head and neck cancer treatment: a randomized controlled trial |
| title_full | Submental liposuction for the management of lymphedema following head and neck cancer treatment: a randomized controlled trial |
| title_fullStr | Submental liposuction for the management of lymphedema following head and neck cancer treatment: a randomized controlled trial |
| title_full_unstemmed | Submental liposuction for the management of lymphedema following head and neck cancer treatment: a randomized controlled trial |
| title_short | Submental liposuction for the management of lymphedema following head and neck cancer treatment: a randomized controlled trial |
| title_sort | submental liposuction for the management of lymphedema following head and neck cancer treatment a randomized controlled trial |
| topic | Liposuction Submental Cervical Lymphedema Head and neck Self-perception |
| url | http://link.springer.com/article/10.1186/s40463-018-0263-1 |
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