flexitouch plus head and neckhow did lafayette help the patriot cause?

/CropBox [0 0 612 792] /TT3 74 0 R Tens of thousands of. Except for my wrist, all my measurements showed reduction. To learn more about this study, you or your doctor may contact the study research staff using the contacts provided below. /Font << UGH! endobj Now cancer survivors can comfortably and conveniently self-manage their lymphedema at home. PW!\v(jfz:yX 8$W"wqHbxQDL Write a review. /TT0 56 0 R /MediaBox [0.0 0.0 612.0 792.0] Top reviews. /Pages 2 0 R She explained that compression pumps force air into sleeves with multiple chambers. /TT1 57 0 R Read our, ClinicalTrials.gov Identifier: NCT03558672, Observational 2 0 obj << I have have been blessed to have the Tactile newest machine for lymphedema in both my legs. The Flexitouch System and garments for the head and neck are intended for use by medical professionals and patients who are under medical supervision for the treatment of head and neck lymphedema . >> /StructParents 0 >> Lymphatic drainage via pneumatic compression, Flexitouch Plus is the only FDA cleared pneumatic, compression device for head and neck cancer-related lymphedema and can be prescribed. >> /CropBox [0.0 0.0 612.0 792.0] Michelin Man came to mind as I stretched out on the couch. Ridner SH, Dietrich MS, Niermann K, Cmelak A, Mannion K, Murphy B. https://tactilemedical.com/head-and-neck-lymphedema-clinical-trial/, https://tactilemedical.com/information-for-patients/what-is-lymphedema/, https://tactilemedical.com/our-lymphedema-solutions/for-head-and-neck/flexitouch-plus/. /URI (http://www.fda.gov/) Assessment and measurement of head and neck lymphedema: State-of-the-science and future directions. /Rect [40.95 36 85.101 45.216] Chronic pain all the time and the hopelessness of diagnosis was almost harder than going through chemo emotionally and physically. I greatly encourage others to try to obtain one if they are able and if it is a good option for them. I have lymphedema in my right arm, breast and axilla. /Annots [10 0 R 11 0 R 12 0 R] Prior to using a Flexitouch, the Tacoma woman had at least two to three bouts of cellulitis a year, some requiring hospitalization. The Flexitouch Plus system should not be used on patients with one or more of the following conditions: My therapist said they cannot be reused by another. /Contents 36 0 R by Flexitouch. Lymphedema is a failure of lymphatic system to transfer fluid from the connective tissue to the circulatory system. I have lymphedema near globally at this point and am trying to obtain coverage via insurance. For general information, Learn About Clinical Studies. /Resources << Read our, ClinicalTrials.gov Identifier: NCT04276454, Interventional /CropBox [0.0 0.0 612.0 792.0] An estimated 1.4 million U.S. patients are diagnosed with lymphedema annually. I did a baseline measurement of my left arm before treatment and three weeks after using the pump. /TT0 69 0 R 5 0 obj endobj Refer to the Legal Notice for express terms of use. What do I think about my Flexitouch, or spacesuit as my husband and I affectionately call it Im glad I have it. My interest in pumps suddenly skyrocketed! In conducting this rigorous clinical trial, we hope to build on the initial body of evidence by evaluating the effectiveness of Flexitouch Plus in comparison to usual care, using a variety of measures to assess the benefits of this at-home treatment for patient health and quality of life.. /Annots [25 0 R 26 0 R 27 0 R 28 0 R 29 0 R 30 0 R 31 0 R 32 0 R 33 0 R 34 0 R 15 0 obj /Rotate 0 2144 Westlake Ave, North, Suite F Seattle, WA 98109, (206) 575-7775 info@nwlymphedemacenter.org. So we appealed 3 times. Ridner, S.H., et al., A prospective Study of the Lymphedema and Fibrosis Continuum in Patients with Head and Neck Cancer. Forward-looking statements are generally identifiable by the use of words like may, will, should, could, expect, anticipate, estimate, believe, intend, continue, confident, outlook, guidance, project, goals, look forward, poised, designed, plan, return, focused, prospects or remain or the negative of these words or other variations on these words or comparable terminology. My physical therapist recommended the FlexiTouch Plus machine, and my new machine arrived this week. The company approached Nottingham Spirk to develop a first-to-market pneumatic compression garment for use on the head and neck and to create the next generation Flexitouch Plus System. An estimated 1.4 million U.S. patients are diagnosed with lymphedema annually. Having to search it all out including bandaging and reducing myself, learning from You Tube, finding supplies online and dealing with physical therapists and oncologists and radiation oncologists who dont know anything about this chronic disease and putting all the pieces together myself because there are people to help but no one knows where they are was emotially depressing. Pembrolizumab plus cetuximab in patients with recurrent . 4 0 obj Head and chest measurements within the following: Prescribed the Flexitouch system or Flexitouch Plus, Uncontrolled hyperthyroidism or parathyroidism (for which endocrinologist recommends against neck compression), Symptomatic carotid artery disease, as manifested by a recent transient ischemic attack (within 30 days), ischemic stroke, or amaurosis fugax (monocular visual ischemic symptoms or blindness), Symptomatic bradycardia in the absence of a pacemaker, Internal jugular venous thrombosis (within 3 months), Increased intracranial pressure or other contraindications to internal or external jugular venous compression, Acute radiation dermatitis, unhealed surgical scar, unhealed or open wound(s), or surgical flap less than 6-8 weeks post-operative, Facial or head and neck dermal metastasis, Acute facial infection (e.g., facial or parotid gland abscess), Any condition in which increased venous and lymphatic return is undesirable, Heart failure (acute pulmonary edema, decompensated acute heart failure), Subject is pregnant or trying to become pregnant, Acute venous disease (acute thrombophlebitis, acute deep venous thrombosis, acute pulmonary embolism). Active skin or limb infection/inflammatory disease (acute cellulitis, other uncontrolled skin or untreated inflammatory skin disease) /Filter /FlateDecode /W 0 7:00 a.m. to 7:00 p.m. CT, Monday through Friday and 8:00 a.m. to 12:00 p.m. CT, Saturday, 3701 Wayzata Blvd, Suite 300 /Font << between head and neck cancer and lymphedema. I have one new for sale. /Rotate 0 /Tabs /S Co-Primary Investigators for the study are Ridner and Barbara Murphy, MD, professor of Medicine, Vanderbilt University School of Medicine. endstream The purpose of this research is to evaluate the result of treatment for neck lymphedema on throat pressure in patients who have received radiation therapy for head and neck cancer. For more information, https://tactilemedical.com/our-lymphedema-solutions/for-head-and-neck/flexitouch-plus/, Tactile Medical is a leader in developing and marketing at-home therapy devices that treat chronic swelling conditions such as lymphedema and chronic venous insufficiency. Acute venous disease (acute thrombophlebitis, acute deep venous thrombosis, acute pulmonary embolism) Percentage of each response captured. Please cross your fingers for me that this works. 10 0 obj Everything in my life that I do and love and I am passionate about invloves using my hands and arms. The pump is called the Flexitouch System by Tactile Medical. /S /URI My best to you. /Font << Dr. Shelia Ridner Dr. Barbara Murphy Hi Wandalynn . >> Tens of thousands of. >> It has become so bad that I can barely walk. Two years on pump controller and garments. There is more to the whole story but bottom line is if you have this machine it changes everything they think they know about lymphedema! /CS /DeviceRGB Controller programmability allows preset programs - save up to three treatment programs and easily access each program from the large 7" color display. /Im0 60 0 R Oral Oncology. /Length 585 Since my trouble spot is below my elbow, several times a week I use the 22 minute forearm and hand setting. Talk with your doctor and family members or friends about deciding to join a study. They use them in the morning, at nightand feel very lucky.. >> Deng J, et al. stream 1 0 obj I subsequently found out that Flexitouch had actually been around for several years but a new study had brought awareness to this pneumatic compression device or lymphedema pump. 1(1): 114125. /ProcSet [/PDF /Text /ImageC] Actually they dont know much about lymphedema. Do you know of anyone whom would want to buy it? & weigh 126 lbs. /C2_0 54 0 R Ridner, S.H., et al., A Prospective Study of the Lymphedema and Fibrosis Continuum in Patients with Head and Neck Cancer. I feel like my physical therapist or the sales rep from Tactile Medical should have caught this BEFORE I was encouraged to order an expensive machine that I may or may not be able to use. /ProcSet [/PDF /Text] It has made my life miserable. /Contents 73 0 R As one Flexitouch woman put it, its like finally getting a dishwasher to do your dishes. My go to place when I need calming. For more information, https://tactilemedical.com/about-us/. Please remove one or more studies before adding more. Managing my lymphedema requires attention and an assortment of tools. Negative value shows a decrease in quality of life/overall health. Direct Evidence of Lymphatic Function Improvement After Advanced Pneumatic Compression Device Treatment of Lymphedema. Heart failure (acute pulmonary edema, decompensated acute heart failure) For general information, Learn About Clinical Studies. 4? /Rotate 0 2010; Vol. I would be interested to hear how your husbands experience with his new pump. /TT2 71 0 R For these patients, Flexitouch Plus for head and neck lymphedema is the first and only pneumatic compression device cleared and commercially available to treat this condition at home. 18 0 obj 14(4): p. 198-205, 2. Comfortable: Garments are made of soft, comfortable fabric while the dynamic pressure feels like a soothing massage. /Im0 24 0 R Keywords provided by NorthShore University HealthSystem: Why Should I Register and Submit Results? First of all I cant drive, and second I have to pay a $60 copay every time I go. Positive value shows an increase in quality of life/overall health. Tens of thousands of patients with lymphedema in the limbs and trunk areas have benefited from the Flexitouch system since its introduction in 2002. Adams, KE, Rasmussen JC, Darne C, et al. I just finished 6 weeks of radiation. /Subtype /Link Positive value shows an increase in swelling. Ridner, S.H., et al., A prospective Study of the Lymphedema and Fibrosis Continuum. Information provided by (Responsible Party): The purpose of this research is to evaluate the result of treatment for neck lymphedema on throat pressure in patients who have received radiation therapy for head and neck cancer. XJ /F 4 See the clinical benefit of Flexitouch Plus FEES Study 1 Swelling six week post cancer treatment FEES Study 2 They wanted me to come there three times a week for 3 hours to be wrapped and have therapy. << FLEXITOUCH Compression Unit For Left Shoulder Short sz 3 Trunk PD32-U Pump Lymphedema Pump Lymphedema For Sale Compression Unit For Left Shoulder Short. Information provided by (Responsible Party): The objective of this registry is to evaluate the long term effectiveness of the Flexitouch System and Flexitouch Plus in those with head and neck lymphedema. Head and Neck Lymphedema Treatment Flexitouch Plus provides a comfortable, effective, at-home treatment designed to help head and neck lymphedema patients get back to their lives. stream << The warranty was the same as a new machine. The Flexitouch Plus system is clinically proven to stimulate the lymphatic system and aids treatment of head and neck lymphedema. For more information, https://tactilemedical.com/information-for-patients/what-is-lymphedema/, The Flexitouch Plus system has been clinically proven to stimulate the lymphatic system. Evaluation of External Lymphedema Treatment on Pharyngeal Pressure in Head and Neck Cancer Patients, 18 Years to 100 Years (Adult, Older Adult). Hi Sarah, I would suggest going to a clinic in your area where therapists specialize in care of lymphedema. Ive had my Flexitouch for almost five months. endobj 9 0 obj /Resources << Lymphedema So for almost every night for the next seven years I sat down and performed MLD on my left arm. I just came across this site about the Flexitouch Pneumatic Pump for Lymphedema. 11 0 obj 2. The initiation of this clinical trial underscores Tactile Medicals commitment to supporting the development of quality clinical evidence and expanding access to effective lymphedema treatment for this underserved patient population., For additional information about the trial, please visit: https://tactilemedical.com/head-and-neck-lymphedema-clinical-trial/, Lymphedema is a chronic disease in which excess fluid accumulates in areas of the body when lymphatic vessels do not work efficiently or have been damaged. I dont like that I have to do it but it has changed my legs back to normal. Learn how your comment data is processed. Thanks. 1. /Resources << /Type /Page Why Should I Register and Submit Results? >> x /Type /Group /Type /Catalog Ml6(|a\!A.;Q#[. >> JAMA Dermatol. For more information, https://tactilemedical.com/about-us/. % I have a co/ pay of $422.57 yet to pay, But not until they get it so it can be used I kind of wish I had never got it. /StructParents 0 Please write back in a month or so and let us know your progress. /TT0 49 0 R endobj To pump or not to pumpthat is a question that I hear in the lymphedema community. 3701 Wayzata Blvd, Suite 300 I see several for sale on EBAY, but the lymphedema community is such a specific niche, I just dont think thats the best way to approach the need. You are benefiting the lymphedema community. One pump I know of that does not have preprogramming is a Normatec pump by Hyperice. I was told purchased high priced left garments which I dont think I needed. /MediaBox [0 0 612 792] Hope it works out. I only make 12k per year so its not like I can afford anything. /Resources << [Patient Registry], A Registry to Evaluate the Flexitouch System and Flexitouch Plus for Treatment of Head and Neck Lymphedema, 18 Years and older (Adult, Older Adult), West Des Moines, Iowa, United States, 50265, Asheville, North Carolina, United States, 28805, Pittsburgh, Pennsylvania, United States, 15212. My insurance company required me to use a different brand of compression pump and experience failure before they would consider covering the cost of a Flexitouch. It delivers a noninvasive therapy that patients can administer themselves at home. https://doi.org/10.1007/s00520-020-. Keep in touch! I have little confidence that the FaceTime call offered will be of much use. Lymphedema is a failure of lymphatic system to transfer fluid from the connective tissue to the circulatory system. Surprisingly, my therapists measurements showed minimal difference with previous measurements. Pain will be assessed using the VAS Pain Scale. /Filter /FlateDecode It takes just 32 minutes per day. Investors and security holders are urged to read these documents free of charge on the SECs website at http://www.sec.gov. In this study, the investigators plan to treat the external lymphedema with a device called the Flexitouch Plus, which is already approved by the Food and Drug Administration (FDA) for lymphedema treatment, and to measure the degree of internal lymphedema using a pressure sensor to detect throat muscle pressure before and after the treatment with the Flexitouch Plus device. Another set of pads enveloped my left thigh and trunk. If you dont mind, would you be willing to tell me what insurance company you have because it sounds like they were willing to help you? >> /TT1 70 0 R The feeling of devloping a chronic disease after surviving cancer was almost debilitating. Buying a reconditioned machine saved me some money. Important Notice: The contents of the website such as text, graphics, images, and other materials contained on the website ("Content") are for informational purposes only. /Type /Group For a better long-term outcome, help head and neck cancer patients address lymphedema symptoms from the convenience of their homes. I got my Flexibtouch plus system last week that I was never measured for so the whole system feels to big on me, Ive had to call customer service several times because I cant get it to run correctly, They have it set up on 104 min. I have searched the usual places, such as ebay, but cannot find a left arm garment anywhere. >> Thank you for sharing and being an advocate for lymphedema! Required fields are marked *. >> /CropBox [0 0 612 792] I have been thru way to much of trial and error doctors and a lymphedema physical therapist which was a joke. Along with testing his blood sugar, taking his meds, and a sensible diet/exercise part of a complete diabetes maintenance routine? In my home, Alexis helped me slip into a padded bolero type jacket with a long sleeve for my left arm. Ridner, S.H., Dietrich, M.S., Deng, J. et al. /Type /Page Tactile Medicals Mission is to help people suffering from chronic diseases live better and care for themselves at home. /StructParents 7 Out of my sleeve, my 3/4 length sleeves arent as tight. +t}}lZA5'a^M~+y'A]rY(gA\`a||""1DE h2vIvMzLY$"'q!Wb40Jbc=&EMFEkl4F6,{~BP 1. >> Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT03558672. /Rect [90.257 252.64 421.33 266.44] Fax: 1.866.435.3949, Flexitouch, Actitouch, Entre and HEALING RIGHT AT HOME are all trademarks or registered trademarks of Tactile Medical. Percent change is calculated by the difference between swelling measurements averaged at 6 months versus baseline. << endobj Yes. Negative value shows a decrease in Function/Range of Motion. Tactile Medical manufactures pneumatic compression devices that allow lymphedema patients to self-manage at home. I can relate all too well to what you have been through. HTMO0WKwfCB R+,Pq%j7U.h|AzPM]%YR|dZERH dHkeh5. My thighs are so big that I can no longer Drive. I just received the flexitouch plus, but I think the leg garments are too big. ?gF:cmlrpoc*teIgeF%hvK-h*NHw\3b.IkQvll Bwzw6Gix-Gm6!57Z4T$YNN I decided to purchase one without insurance. I was rather startled at how wrapped up I was. In the first randomized control trial of home management of head and neck lymphedema, Vanderbilt researchers found statistically significant improvements with Flexitouch users1. Then one evening last fall when I was arriving at a SWELL lymphedema support meeting I heard a buzz in the air. He will recline, watch tv, or sometimes he is so relaxed he briefly dozes off. Has anyone else had any experience with this? /C2_0 21 0 R /CropBox [0 0 612 792] >> >> Choosing to participate in a study is an important personal decision. /Type /Action At-Risk Patient: Pressure Ulcers/Injuries, At-Risk Patient: Surgical Site Infections, Burns, Deep Partial-Thickness (Deep Second-Degree), Burns, Full-Thickness (Third- and Fourth-Degree), Burns, Superficial Partial-Thickness (Second-Degree), Peristaltic gradient sequential compression. For more information, https://tactilemedical.com/information-for-patients/what-is-lymphedema/, The Flexitouch Plus system has been clinically proven to stimulate the lymphatic system. It delivers a noninvasive therapy that patients can administer themselves at home. I have had it some 10 years now and when it gets to the point of cellulitis I take medication which I feel is not the thing to do but it takes the pain away and eventually relieves the fever and some of the swelling. /Parent 2 0 R >> Short-term effectiveness will be evaluated at two months and long-term effectiveness will be evaluated at four and six months. /TT2 58 0 R /Length 450 Advanced pneumatic compression for treatment of lymphedema of the head and neck: a randomized wait-list controlled trial. stream Of the patients who tried the device, 88% saw a reduction in head and neck swelling after an initial 32-minute at-home treatment with the Flexitouch system, and 89% of patients reported. Hi Wally, Hope someone is able to meet your request. The Flexitouch Plus system has been clinically proven to stimulate the lymphatic system. /Group << << Flexitouch Plus helps reduce swelling and relieve symptoms of head and neck lymphedema with effective treatments that are: Consistent: Unlike manual lymphatic drainage (MLD), effective treatment doesnt depend on patient technique or ability. Flexitouch Plus for Head and Neck; Flexitouch User Guide and Additional Information for Head and Neck; Upper Body. I go to wound care once a week because of the horrible wounds on my legs that drain so badly due to the lymphedema. /Contents [61 0 R 62 0 R 63 0 R 64 0 R 65 0 R 66 0 R 67 0 R 68 0 R] !(G32Lqk PPr!, L1:n}^w!Y/ W}~^ZcA?c/UM/z)l}a#}UTG/$7~Jsl"[!kklmemzP|4C:vKbkyf;C?.6ZeG FnM (#5_- pZ The one I bought from Amazon for $100 has more pressure, Does anyone know if the trunk is to run its cycle before the legs start, The flexi touch plus is a high priced machine to have that youre not able to use. My therapist wasnt very keen on the use of these pumps and stated that they can sometimes hinder rather than help lymphedema. The swelling can be both internal and external and cause pain, reduced range of motion and difficulty swallowing, speaking and breathing. Tactile Medical is a leader among clinical studies and the Flexitouch system has been studied clinically in more than 1,800 patients. The leg garments that I received are for a much taller person. /StructParents 2 /StructParents 0 The woman from Idaho said her arm was softer and found the machine easy to use. /BS << This damage can cause the lymph fluid to pool instead of flow, leading to debilitating internal and external swelling. /Tabs /S K-ZB: The Flexitouch Plus system and garments for the head and neck are intended for use by medical professionals and patients who are under medical supervision for the treatment of head and neck lymphedema. The woman from Idaho said her arm was softer and found the machine easy to use. You have to speak up for yourself because my doctor would have just let me keep getting it and pumping me full of antibiotics. Its amazing to me how little doctors know about lymphedema. They only measured the circumference of my thighs and calfskin, not the length, so now I am STUCK with a non-refundable almost 9K system that is too long for me. For these patients, Flexitouch Plus for head and neck lymphedema is the first and only pneumatic compression device cleared and commercially available to treat this condition at home. HMs0{:a& f i= %e:YIf4x]i}_Ep{;_.{B!E0D[ The Flexitouch Plus system has been clinically proven to stimulate the lymphatic system. The Company undertakes no obligation to publicly update or revise its forward-looking statements as a result of new information, future events or otherwise. I hate to let such an important piece of equipment sit and waste when so many people could benefit from it. >> /CropBox [0.0 0.0 612.0 792.0] )XXAc21Z(VAP\+swqri#1 c8m8w5;#"iYWd6u&~7_Z]V}{JAlv-s+b~vOztn12SA|xG)fjwjBYn6 X=+o\U$(F>4AxPi^gE5 f/]zR3N1D]-/A->byyo/4PMv The trial will compare the short- and long-term effectiveness of Tactile Medicals Flexitouch Plus system to usual care, such as complete decongestive therapy (CDT), for the management of lymphedema and fibrosis in head and neck cancer survivors. /C2_1 55 0 R With the enrollment of our first patient, we are pleased to initiate the largest randomized, controlled clinical trial ever conducted for the treatment of head and neck cancer-related lymphedema, said Sheila Ridner, PhD, RN, FAAN, Professor of Nursing, Emerita, Vanderbilt University School of Nursing, a principal investigator of the trial. Adjustable, easy-to-put-on-and-take-off, garments fit the unique anatomical contours of each patient, providing targeted, individualized treatment /Filter /FlateDecode The head and neck garment set is easy to use and features the clinically proven Flexitouch technology that tens of thousands of lymphedema patients rely on every day to effectively treat their extremities. /StructParent 1 I am a person who has kids and works as a hairstylist and loves gardening and working out and cooking. The study documented a reduction in the rate of cellulitis episodes following use of the Flexitouch System for the treatment of lymphedema. Last updated March 2021. 2015;151(11):11871193. (Note: There are other well regarded pumps on the market. In June 2017, we announced that we received 510(k) clearance from the FDA for the Flexitouch Plus, the third-generation version of our Flexitouch system. Also, when I am out of my sleeve for special occasions, the knuckles of my hand are still showing after a few hours. Lymphedema can be debilitating and make it hard for survivors of head and neck cancer to start enjoying life again. /S /Transparency Percent change is calculated by the difference between scores averaged at 6 months versus baseline. Numerous garment and program options to meet each patient's unique treatment needs This is not anadvertisement for Flexitouch.). >> 0 T >> He just never could get use to using it and being able to don the garments. The Cutaneous, Net Clinical, and Health Economic Benefits of Advanced Pneumatic Compression Devices in Patients With Lymphedema. It was up to me to piece it together. The study will evaluate the feasibility and potential effectiveness of the Flexitouch head and neck treatment plus standard home care compared to standard home care regimen alone. Apply garment(s), plug garment hose into pump controller, turn controller on and push button to begin treatment. stream 3701 Wayzata Blvd, Suite 300 14 0 obj https://doi.org/10.1007/s00520-020-05540-8, 3. Call us at 1.833.3TACTILE (1-833-382-2845), 7:00 a.m. to 7:00 p.m. CT, Monday through Friday and 8:00 a.m. to 12:00 p.m. CT, Saturday. endobj Pneumatic Compression Device Treatment of Lower Extremity Lymphedema Elicits Improved Limb Volume and Patient-Reported Outcomes. I have skipped 1 or 2 days just 3 or 4 times since March. Simultaneous bilateral therapy allows the patient to treat both legs at once and save overall patient treatment time /Rotate 0 Karaca-Mandic P, Hirsch AT, Rockson SG, et al. << The Flexitouch Plus helps to improve the lives of patients who have struggled with the pain, swallowing, speaking and breathing difficulties brought on by head and neck lymphedema. /MediaBox [0.0 0.0 612.0 792.0] Subjects enrolled in the trial will be randomized to one of two arms, where they will either self-administer once daily treatment with Flexitouch Plus or receive usual care as would typically be directed at their site, which may include CDT by a lymphedema therapist or other conservative management measures as directed by the therapist. Subjects enrolled in the trial will be randomized to one of two arms, where they will either self-administer once daily treatment with Flexitouch Plus or receive usual care as would typically be directed at their site, which may include CDT by a lymphedema therapist or other conservative management measures as directed by the therapist. /TT2 72 0 R The trial will compare the short- and long-term effectiveness of Tactile Medicals Flexitouch Plus system to usual care, such as complete decongestive therapy (CDT), for the management of lymphedema and fibrosis in head and neck cancer survivors.

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