title: Lymphoedema following treatment for head and neck cancer: impact on patients, and beliefs of health professionals.
abstract: Cervicofacial lymphoedema is a recognised side-effect that may result following treatment for head and neck cancer. This study aimed to investigate the perspectives of affected patients and the beliefs that treating health professionals hold about head and neck lymphoedema. Ten patients with head and neck lymphoedema and 10 health professionals experienced in the treatment of head and neck cancer patients agreed to participate in semi-structured face to face interviews. Interviews were recorded, audio files were transcribed and coded and then analysed for themes. Themes of experiences of patients with head and neck lymphoedema and the beliefs of health professionals largely overlapped. Given its visible deformity, the main effect of lymphoedema in head and neck cancer patients was on appearance. In some cases this lead to negative psychosocial sequelae such as reduced self-esteem, and poor socialisation. Clinicians need to be aware of those patients more likely to experience lymphoedema following treatment for head and neck cancer, and how they are affected. Understanding how patients with facial lymphoedema are affected psychologically and physically, and the importance of prompt referral for lymphoedema treatment, might ultimately improve outcomes and ensure optimal management.
authors.affiliation: Physiotherapy Department, The Calvary Mater Newcastle Hospital, Waratah, NSW, Australia; Faculty of Health Sciences, University of Newcastle, Callaghan, NSW, Australia.
authors.forename: A C
authors.initials: AC
authors.lastname: McGarvey
authors.forename: P G
authors.initials: PG
authors.lastname: Osmotherly
authors.forename: G R
authors.initials: GR
authors.lastname: Hoffman
authors.forename: P E
authors.initials: PE
authors.lastname: Chiarelli
mesh_terms: D000328:Adult; D000368:Aged; D001291:Attitude of Health Personnel; D001294:Attitude to Health; D005260:Female; D006258:Head and Neck Neoplasms / Q000628:therapy*; D006801:Humans; D008209:Lymphedema / Q000209:etiology / Q000523:psychology*; D008297:Male; D008875:Middle Aged; D037981:Neck Dissection / Q000009:adverse effects*; D036301:Qualitative Research; D011788:Quality of Life; D011878:Radiotherapy / Q000009:adverse effects*
keywords: facial lymphoedema; head and neck; swelling