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Head Neck ; 40(1): 137-143, 2018 Jan.
Article in English | MEDLINE | ID: mdl-29131439

ABSTRACT

BACKGROUND: This functional usability study assessed ease of use, fit, comfort, and potential clinical benefits of advanced pneumatic compression treatment of cancer-related head and neck lymphedema. METHODS: Patient-reported comfort and other treatment aspects were evaluated and multiple face and neck measurements were obtained on 44 patients with head and neck lymphedema before and after 1 treatment session to assess usability and treatment-related lymphedema changes. RESULTS: A majority of the patients (82%) reported the treatment was comfortable; most patients (61%) reported feeling better after treatment, and 93% reported that they would be likely to use this therapy at home. One treatment produced overall small but highly statistically significant reductions in composite metrics (mean ± SD) of the face (82.5 ± 4.3 cm vs 80.9 ± 4.1 cm; P < .001) and neck (120.4 ± 12.2 cm vs 119.2 ± 12.1 cm; P < .001) with no adverse events. CONCLUSION: Results found the treatment to be safe, easy to use, and well tolerated while demonstrating edema reduction after a single initial treatment.


Subject(s)
Head and Neck Neoplasms/surgery , Intermittent Pneumatic Compression Devices/statistics & numerical data , Lymphedema/therapy , Neck Dissection/adverse effects , Aged , Feasibility Studies , Female , Follow-Up Studies , Head and Neck Neoplasms/pathology , Humans , Lymphedema/etiology , Male , Massage/methods , Middle Aged , Neck Dissection/methods , Patient Reported Outcome Measures , Patient Satisfaction/statistics & numerical data , Postoperative Care/methods , Postoperative Complications/physiopathology , Postoperative Complications/therapy , Prospective Studies , Recovery of Function , Risk Assessment , Treatment Outcome
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