Treatment of Upper Extremity Lymphedema following Chemotherapy and Radiation for Head and Neck Cancer

Head and Neck Cancer
16/06/2020

Szpalski C, et al. Plast Reconstr Surg Glob Open 2020.

ABSTRACT

In the industrialized world, the most common cause of secondary lymphedema is iatrogenic. The inciting event is generally a combination of lymph node resection, chemotherapy, and radiation therapy. Although a regional nodal dissection is often the primary risk factor, lymphedema can also result from sentinel node dissections, or as in the case presented without any surgical resection. Here, we present a unique case of upper extremity lymphedema resulting from definitive chemoradiation for


squamous cell carcinoma of the head and neck. The patient was treated using a combined approach with a lymphaticovenular anastomosis and a free vascularized inguinal lymph node transfer.