Proposal for an intervention program for facial and cervical lympedema secondary to the treatment of head and neck cancer Thesis by Bruna da Silva Fulachi. Advisor: Lica Arakawa Sugueno e Débora dos Santos Queija

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Introduction: The treatment of head and neck cancer can cause acute or chronic sequelae, such as lymphedema. Manual lymphatic drainage is recommended as the first line of therapy in these cases, however, there is a scarcity of studies that describe the techniques in this public. Objective: To present an intervention proposal for cervicofacial lymphedema secondary to the treatment of head and neck cancer. Method: A theoretical foundation was carried out so that the program variables were selected and later presented to 2 judges. The program was tested for feasibility in a pilot study of 10 patients with cervicofacial lymphedema. Results: The theoretical foundation resulted in 11 selected articles, which based the selection of the five variables of the intervention program. All ten patients showed adhesion and tolerance to face-to-face techniques and eight patients showed adhesion and tolerance to the home program. Conclusions: This study presented a proposal for an intervention program based on the literature and on the experience of applying manual techniques for cervicofacial lymphedema, and it showed up to be feasible for application in a hybrid way in patients from a public health network, with positive qualitative results to improve this condition.

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