PURPOSE OF REVIEW The purpose of this review is to summarize current evidence regarding management of head and neck lymphoedema (HNL) to improve dysphagia outcomes following head and neck cancer (HNC) treatment. This review aims to support complete decongestive therapy (CDT) comprising compression, manual lymphatic drainage (MLD), exercises and skincare as an adjunct of dysphagia rehabilitation. RECENT FINDINGS Research in the limbs supports the use of CDT to improve lymphoedema outcomes. Emerging evidence supports the use of CDT for the head and neck, though, there is no consensus on optimal treatment required to improve dysphagia outcomes. Current evidence is limited due to a paucity of randomized controlled trials, case series or cohort studies with small participant numbers, and a lack of functional and instrumental dysphagia outcome measures. This provides a foundation to design and test an individually tailored programme of HNL intervention to evaluate swallowing outcomes post CDT. SUMMARY As the incidence of HNC is increasing with HPV, with patients living for longer with late effects of HNC treatment, it is vital to understand how the presence of HNL impacts on the swallow, and if functional dysphagia outcomes improve following treatment of HNL. Prospective, longitudinal research with objective and functional outcome measures are required to help determine optimal management of HNL and its impact on the swallow.

中文翻译：

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头颈癌治疗后的淋巴水肿管理：完全去充血治疗是改善吞咽困难结果的有效干预措施吗？


综述目的本综述的目的是总结有关头颈淋巴水肿（HNL）管理的当前证据，以改善头颈癌（HNC）治疗后吞咽困难的结果。本综述旨在支持完整的减充血治疗 (CDT)，包括压迫、手动淋巴引流 (MLD)、锻炼和皮肤护理，作为吞咽困难康复的辅助手段。最近的发现 四肢研究支持使用 CDT 来改善淋巴水肿的结果。新出现的证据支持对头颈部使用 CDT，但对于改善吞咽困难结果所需的最佳治疗尚未达成共识。由于缺乏随机对照试验、病例系列或参与者人数较少的队列研究，并且缺乏功能性和仪器性吞咽困难结果测量，目前的证据有限。这为设计和测试单独定制的 HNL 干预方案奠定了基础，以评估 CDT 后的吞咽结果。总结 由于 HNC 的发病率随着 HPV 的增加而增加，并且 HNC 治疗的后期效果使患者寿命更长，因此了解 HNL 的存在如何影响吞咽以及 HNL 治疗后功能性吞咽困难的结果是否有所改善至关重要。需要进行具有客观和功能性结果测量的前瞻性纵向研究，以帮助确定 HNL 的最佳管理及其对吞咽的影响。