Doctor insights on:
Radical Neck Dissection
Remove lymph nodes: This is a procedure that removes all of the lymphatic tissue in the neck. A radical neck involved removing the jugular vein, muscles, and some nerves as well. Currently surgeons performed a modified radical neck which preserves most of these structures. This procedure is performed to remove metastatic disease of the neck. ...Read moreSee 2 more doctor answers
Depends on cause: Most often radical neck dissections are done by ENT surgeons for cancer. Side effects are dependent on the location of the cancer and invasiveness. Some of the potential side effects based on the anatomy of the region include damage/injury to the large vessels-ie. Carotid artery, jugular vein. This can lead to stroke. Damage can occur to nerves that control swallowing or the ability to speak. ...Read more
Several types: There are several ways to make the incision for a radical neck dissection, depending on the surgeons preference. Check this website for some pictures. One common way is the first one depicted. http://www.acssurgery.com/acssurgery/secured/figtabpopup.action?bookid=acs;linkid=part02_ch07_fig3;type=fig. ...Read more
I had a radical neck dissection followed by radiation 7 years ago. If i get a sore throat i get very inflamed and very tender lymph nodes. Is his norm?
Consult ENT : I am not an ENT doctor, but this is in general a reference to surgery done for cancer in the neck. And has to do with the extent of surgical removal with 'radical' being a more aggressive surgery with removal of lymph nodes etc, and modified usually being confined to clear margins. Please ask an ENT surgeon for the best input. ...Read more
My dad had a neck dissection 1 month ago.he says every time he eats he feels a inward pulling sensation where his dissection was done.why is this?
Adherence of skin: On completion of neck dissection, depending on incisions employed , the major vessels are dissected and sternomastoid removed. In order to have viable flaps, blood supply must enter skin from dissection site. Suction caths are used to allow adherence of flaps to underlying dissection site. Until complete healing, skin is densely attached and swallowing can pull skin toward esophagus. ...Read more
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