[Lymphedema of the head in clinical practice].

K Rüger
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Abstract

In the Feldberg clinic Dr. Asdonk in St. Blasien we treat primary and secondary lymphedemas of the head with the "Manual lymphdrainage according to Vodder-Asdonk." Secondary lymphedemas are a result of cancer therapy or are caused of tumors or their metastases respectively. A successful therapy is possible at primary lymphedemas of head or lymphedemas following an inflammation or an injury. If the cancer increases unstoppable the so-called "malignant lymphedema" not always decreases. Nevertheless we should treat with manual lymphdrainage therapy because if we do it not the lymphedema increases also unstoppable and it means a disaster for the patient. The manual lymphdrainage therapy is the only treatment we can do. Diuretics are only an indication in the final phase of the malignant lymphedema of the head because they do not take away the protein out of the interstitial tissue and so the edema becomes all the more.

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[临床实践中的头部淋巴水肿]。
在St. Blasien的Feldberg诊所,Dr. Asdonk我们用“根据voder -Asdonk的手工淋巴引流”来治疗原发性和继发性头部淋巴水肿。继发性淋巴水肿是癌症治疗的结果,或由肿瘤或肿瘤转移引起。原发性头部淋巴水肿或炎症或损伤后的淋巴水肿可能获得成功的治疗。如果癌症不可阻挡地增加,所谓的“恶性淋巴水肿”并不总是减少。然而,我们应该用手工淋巴引流疗法来治疗,因为如果我们不这样做,淋巴水肿也会不可阻挡地增加,这对病人来说意味着一场灾难。手动淋巴引流疗法是我们唯一能做的治疗。利尿剂只是头部恶性淋巴水肿最后阶段的一个指示因为利尿剂不能将蛋白质从间质组织中带走因此水肿变得更加严重。
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[Pathophysiology and clinical aspects of myxedema]. [Lymph node diagnosis with imaging methods. An overview with special reference to recent developments in the area of MR contrast media]. [Radiotherapy of ENT tumors and risk of lymphedema]. [Outcome of various inpatient lymph drainage procedures]. [Adjuvant therapy in lymphedema].
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