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Vol. 55. Issue 1.
Pages 67-70 (January - March 2021)
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Vol. 55. Issue 1.
Pages 67-70 (January - March 2021)
Caso clínico
Linfedema facial y labial secundario a tratamiento oncológico. A propósito de un caso clínico
Facial and labial lymphedema after oncological treatment. A propos of clinical case
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S. Vázquez Gallegoa,
Corresponding author
sandravazquezgallego@gmail.com

Autor para correspondencia.
, M. Catasús Clavéa, I. Campos Varelaa, R. Planas Balaguéa,b
a Servicio de Medicina Física y Rehabilitación, Hospital Universitari de Bellvitge, L’Hospitalet de Llobregat, Barcelona, España
b Facultat de Medicina, Universitat de Barcelona, Barcelona, España
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Resumen

El linfedema facial secundario a un tratamiento oncológico es una entidad rara e incapacitante, que ocasiona alteraciones funcionales y estéticas.

Presentamos el caso de una paciente de 61 años, que a raíz de una neoplasia de lengua en 2015 y tras varios tratamientos, incluyendo diversas intervenciones quirúrgicas, linfadenectomía ganglionar cervical bilateral y radioterapia adyuvante, desarrolló linfedema facial y labial.

Fue remitida al servicio de rehabilitación por aumento de volumen facial y labial, sialorrea, xerostomía, dificultad para deglutir, leve disatria y protrusión labial. Debido a la repercusión funcional y el defecto estético que esto causaba a la paciente, se realizó un plan de tratamiento rehabilitador que consistió en drenaje linfático manual, colocación de ortesis facial nocturna de silicona y taping linfático. La paciente mejoró tanto subjetiva como objetivamente en términos de dureza y volumen facial, aunque observamos leve mejoría del linfedema labial.

Palabras clave:
Linfedema facial
Rehabilitación
Tratamiento
Drenaje linfático
Taping
Abstract

Facial lymphedema secondary to treatment by a neoplastic process is a rare and disabling pathology, causing functional and aesthetic alterations. A case report of facial and labial lymphedema describing the functional repercussion and aesthetic defect. We present a 61-years-old female patient suffered a tongue neoplasia and bilateral cervical lymphadenectomy in 2015. After several treatments, including diverse surgical interventions and adjuvant radiotherapy, developed facial and labial lymphedema. The patient was sent to our Rehabilitation Department complaining about swelling of the face and lips, dysphagia, sialorrhea, xerostomia, dysarthria and decubitus in lower lip by labia protusion. Due to the functional repercussion that it caused in the patient, rehabilitating physical treatment was planned with manual lymph drainage, facial silicone orthosis and lymphatic taping. The patient improved both subjectively as well as objectively in terms of hardness, volume and slight improvement of lip lymphedema.

Keywords:
Facial lymphedema
Rehabilitation
Treatment
Lymphatic drainage
Taping

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