Lymphedema of Tongue: Evaluation, Management and Outcomes

Abstract

Lymphedema is a chronic, progressive condition of the lymphatic system characterized by inflammation, fibro adipose tissue deposition, and impaired lymphatic drainage. Lingual lymphedema, in particular, poses unique challenges due to the critical role of the tongue in oral motor functions. Intraoral swelling limits range of motion, alters tongue posture, and may affect breathing patterns and sleep quality. This case report presents the evaluation and conservative management of a patient with post- treatment lymphedema of the tongue following surgery and adjuvant radiotherapy for squamous cell carcinoma. The intervention involves the use of Complete Decongestive Therapy and the outcomes from baseline to 9 months post intervention are evaluated. Intervention over a period of 9 months from baseline evaluation demonstrated a moderate reduction in tongue edema, evidenced by circumferential measurements, moderately improved appearance of tongue and improved quality of life. This report underscores the importance of early rehabilitation using decongestive techniques, tailored positioning, and consistent monitoring and emphasizes on the need for improved intervention protocols specifically for Intraoral edema.