title: Eyelid lymphedema following neck dissection and radiotherapy.
abstract: Chronic eyelid lymphedema following neck dissection and radiotherapy is rare with 1 report in the literature. The authors report 3 cases and review the literature. Two cases had bilateral neck dissection and developed bilateral eyelid lymphedema and 1 case had unilateral neck dissection (left side) and developed ipsilateral lymphedema. Two patients underwent surgical debulking of lymphedema with significant improvement in symptoms. One patient declined surgical intervention, and the lymphedema remained unchanged. Chronic eyelid lymphedema following neck dissection and radiotherapy occurs where predominant lymphatic drainage to the submandibular and deep cervical lymph node basin is removed. Lymphedema tends to persist when it occurs and in selected cases appearance can be effectively improved by debulking and excision of festoons.
authors: *Corneoplastic Unit, Queen Victoria Hospital, East Grinstead, West Sussex, United Kingdom; and †Department of Ophthalmology & Visual Sciences, University of Adelaide, South Australian Institute of Ophthalmology, Royal Adelaide Hospital, North Terrace, Adelaide, South Australia.
authors: Suresh
authors: S
authors: Sagili
authors: Dinesh
authors: D
authors: Selva
authors: Raman
authors: R
authors: Malhotra
mesh_terms: D000368:Aged; D002294:Carcinoma, Squamous Cell / Q000628:therapy; D005141:Eyelid Diseases / Q000209:etiology*; D006258:Head and Neck Neoplasms / Q000628:therapy; D006801:Humans; D007822:Laryngeal Neoplasms / Q000628:therapy; D008209:Lymphedema / Q000209:etiology*; D008297:Male; D008875:Middle Aged; D037981:Neck Dissection / Q000009:adverse effects* / Q000379:methods; D011878:Radiotherapy / Q000009:adverse effects*; D000077195:Squamous Cell Carcinoma of Head and Neck; D014062:Tongue Neoplasms / Q000628:therapy