Heidi Miranda-Walsh
OTR/L, CHT, CLT-LANA
Treatment of Head & Neck Lymphedema
This workshop will describe the consequences and complications related to the treatment of head & neck cancer with surgery, radiation, and/or chemotherapy, and how the therapist can mitigate these effects, especially in regards to lymphedema. Manual lymph drainage (MLD) and compression-garment selection will be discussed.
Objectives
- Explain how the treatment of head & neck cancer can negatively affect the lymphatic system.
- Identify effective treatment options for a lymphatic system negatively impacted by the treatment of head & neck cancer.
References
Million R, Cassisi N. 1984. Management of head and neck cancer: A multidisciplinary approach. Philadelphia: J. B. Lippincott Co.
Peters PM, Dichtel WJ. 1995. The source for laryngectomy. East Moline (IL): Lingui Systems, Inc.
Piso DU, Eckardt A, Lieberman A, Gutenbrunner C, Schaffer P, Gehrke A. Early rehabilitation of head and neck edema after curative surgery for orofacial tumors. Am J Phys Med Rehabil 80(4): 261-9.
Shapshay SM, Ossoff RH, eds. 1985. Squamous cell cancer of the head and neck. Otolaryngology Clinics of North America 18:367-624.
Silver H, Dietrich M, Murphy B. 2007. Changes in body mass, energy balance, physical function, and inflammatory state in patients with locally advanced head and neck cancer treated with concurrent chemo-radiation after low-dose induction chemotherapy. Head Neck 29(10): 893-900.
Zimmerman T, Leonhardt H, Kersting S, Albrecht S, Range U, Eckelt U. 2005. Reduction of postoperative lymphedema after oral tumor surgery with sodium selenite. Biol Trace Elem Res 106(3): 193-203.
Overview of the diagnosis and staging of head and neck cancer. Authors: Colin S Poon, MD, PhD, FRCPC, Kerstin M Stenson, MD, FACS Section Editors: Bruce E Brockstein, MD, Marvin P Fried, MD, FACS Deputy Editor: Michael E Ross, MD. Literature review current through: Feb 2018.
Human papillomavirus associated head and neck cancer. Author: Robert I Haddad, MD Section Editors: Bruce E Brockstein, MD, David M Brizel, MD, Marvin P Fried, MD, FACS Deputy Editor: Michael E Ross, MD. Literature review current through: Feb 2018.
Overview of treatment for head and neck cancer. Authors: Bruce E Brockstein, MD, Kerstin M Stenson, MD, FACS, Shiyu Song, MD, PhD Section Editors: Marshall R Posner, MD, Marvin P Fried, MD, FACS, David M Brizel, MD Deputy Editor: Michael E Ross, MD. Literature review current through: Feb 2018.
Abeloff’s Clinical Oncology, 5th ed, Chap 68. 2014.
Treatment of metastatic and recurrent head and neck cancer. Authors: Bruce E Brockstein, MD, Everett E Vokes, MD Section Editor: Marshall R Posner, MD Deputy Editor: Michael E Ross, MD. Literature review current through: Feb 2018.
Cancer Statistics, 2018. Rebecca L. Siegel, MPH1*; Kimberly D. Miller, MPH2; Ahmedin Jemal, DVM, PhD. CA CANCER J CLIN 2018;68:7–30.
The head and neck symptom checklist©: an instrument to evaluate nutrition impact symptoms effect on energy intake and weight loss. Catherine Kubrak & Kärin Olson & Vickie E. Baracos. Received: 4 January 2013 /Accepted: 21 May 2013 /Published online: 14 July 2013 # Springer-Verlag Berlin Heidelberg 2013.
About the Presenter
Heidi Miranda-Walsh is a graduate of Towson University in Maryland with more than 20 years experience as an occupational therapist. She acquired her hand-therapy specialty certification in 1991 and was trained as a lymphedema therapist at the former Lerner Lymphedema Services Academy of Lymphatic Studies in 1997.
Heidi balances her therapy practice between two specialties, developing hand therapy and lymphedema therapy programs. She has developed a special expertise in treating head and neck oncology patients and has lectured extensively on the subject of Lymphedema of the Head & Neck at conferences for patients, therapists and doctors across the U.S. Heidi is currently works for Mercy Medical Center in Baltimore Maryland.
Heidi is an online instructor for Klose Training, sharing her special interest, skills and experience in working with patients with lymphedema of the head and neck.
