BACKGROUND: Secondary @entity4269 of the head and neck can develop as a result of obstruction of lymphatic channels following the surgical removal of lymph nodes and @entity82 due to irradiation. This can be treated with manual lymphatic drainage. An increase of @entity5 recurrence due to this therapy is at controversial discussion. @entity1 : In a retrospective study 191 @entity1 treated for @entity135 were questioned on occurrence of @entity4269 and therapy with manual lymphatic drainage. RESULTS: 100 @entity1 had received lymphatic drainage, whereas 91 @entity1 belonged to the group without lymphatic drainage therapy. In 37 cases a @entity5 recurrence or local @entity3 were reported, 18 of whom had received lymphatic drainage and 19 belonged to the control group. Among these 37 @entity1 neither the group with lymphatic drainage nor the control group differed significantly concerning stage of @entity5 , histopathological grading, the in sano/non in sano resection of the @entity5 and a lymphangiosis carcinomatosa. An increased recurrence rate among @entity1 who underwent a lymphatic drainage therapy could not be found. CONCLUSION: A lymphatic drainage therapy for @entity1 presenting with @entity4269 after the oncological therapy does not increase the rate of local recurrencies. Moreover it improves the quality of life after the @entity5 therapy. As only few data are available for cases with non in sano surgery and @entity5 with lymphangiosis carcinomatosa these cases should be excluded from a lymphatic drainage therapy. A spreading of occult @entity5 cells in these @entity1 might be possible.

[Indications and risks of manual lymph drainage in XXXX ].

@entity1 :: ('9606', 'Species') :: ['patients', 'PATIENTS'] @entity135 :: ('MESH:D006258', 'Disease') :: ['head and neck cancer'] @entity82 :: ('MESH:D005355', 'Disease') :: ['fibrosis'] @entity5 :: ('MESH:D009369', 'Disease') :: ['tumor', 'cancer', 'primary tumor', 'tumors'] @entity4269 :: ('MESH:D008209', 'Disease') :: ['lymphedema'] @entity3 :: ('MESH:D009362', 'Disease') :: ['metastases']
@entity135 :: (MESH:D006258,Disease) :: ['head-neck tumors']
