Saifee Sakina S, Patil Shubhangi P, Thorat Rupali B, Lalwani Shivani S, Lakkadsha Tasneem M
Department of Physiotherapy, Ravi Nair Physiotherapy College, Datta Meghe Institute of Medical Sciences, Wardha, IND.
Cureus. 2022 Aug 4;14(8):e27673. doi: 10.7759/cureus.27673. eCollection 2022 Aug.
A common secondary complication of oral malignant carcinoma is metastatic cervical lymphadenopathy. The condition is typically treated surgically, with the affected cervical lymph nodes excised, followed by pharmacological treatment. However, additional complications such as asymmetry of facial features, reduced mouth opening, adhesions in sutured tissues, and so on accompany surgical management. This case report describes a case of an adult male who underwent surgery for metastatic cervical lymphadenopathy caused by previous squamous cell carcinoma of buccal mucosa. To address the surgical outcomes that were affecting the patient's quality of life, an integrated physiotherapy management protocol was developed and efficiently followed for three weeks. Improvements in mouth opening, tongue movement, cervical joint movement, chest movement, and the Oral Health Impact Profile quality of life questionnaire were observed at the three-week evaluation, indicating that the intended therapy was effective.
口腔恶性肿瘤常见的继发性并发症是转移性颈部淋巴结病。这种病症通常通过手术治疗，切除受影响的颈部淋巴结，随后进行药物治疗。然而，手术治疗会伴随其他并发症，如面部特征不对称、张口受限、缝合组织粘连等。本病例报告描述了一名成年男性，他因先前颊黏膜鳞状细胞癌导致的转移性颈部淋巴结病接受了手术。为了解决影响患者生活质量的手术结果，制定了综合物理治疗管理方案，并有效实施了三周。在三周评估时观察到张口、舌运动、颈椎关节运动、胸部运动以及口腔健康影响程度生活质量问卷方面均有改善，表明预期治疗有效。
