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头颈部重建中淋巴水肿手术的当前和未来影响。

Current and Future Implications of Lymphedema Surgery in Head and Neck Reconstruction.

机构信息

Department of Plastic and Reconstructive Surgery, Cleveland Clinic Foundation, 9500 Euclid Avenue, Cleveland, OH 44195, USA.

Hospital Infantil de México "Federico Gómez" (Mexico's Children's Hospital), Dr Marquez 162, 06720 Cuauhtemoc, Mexico City, Mexico.

出版信息

Oral Maxillofac Surg Clin North Am. 2024 Nov;36(4):567-574. doi: 10.1016/j.coms.2024.07.007. Epub 2024 Aug 31.

Abstract

In this study, the authors shed light on the underappreciated realm of head and neck lymphedema (HNL) amid the backdrop of significant advancements in extremity lymphedema management. Despite its prevalence and impact, HNL has long been overlooked, attributed to its subtle symptom presentation and lack of awareness among primary care providers. The study delves into the unique challenges associated with diagnosing and treating HNL, emphasizing the predominance of internal swelling over external manifestations. The authors advocate for the refinement and standardization of outcome measures and the integration of innovative techniques such as indocyanine green lymphography and patient-reported outcomes.

摘要

在这项研究中,作者在四肢淋巴水肿管理取得重大进展的背景下,揭示了头颈部淋巴水肿(HNL)这一未被充分认识的领域。尽管 HNL 很普遍且影响很大,但长期以来一直被忽视,这归因于其症状表现微妙以及初级保健提供者缺乏认识。研究深入探讨了诊断和治疗 HNL 所面临的独特挑战,强调了内部肿胀相对于外部表现的主导地位。作者主张完善和标准化结果测量,并整合创新技术,如吲哚菁绿淋巴造影和患者报告的结果。

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