What is a radical neck dissection? when is it done?

What is a radical neck dissection? The surgeon removes a block of tissue from the collarbone to the jaw and from the front to the back of the neck. The large muscle on the side of the neck that is used for rotating, flexing or extending the neck is also taken out, along with the major vein on the side of the neck. Sometimes, a less drastic operation, called a supraomohyoid neck dissection is done. This takes out only the lymph nodes, the tissue surrounding the nodes and a muscle at the front of the neck. Another technique, called a functional neck dissection, saves the muscles of the neck, taking out only the lymph nodes and tissues surrounding them.
What kind of incision is made with a radical neck dissection? The incision depends upon what the surgery is for. It can run from below the ear to the collarbone. Everything in the front of the neck on one side or on both sides may be removed. This may include the lymph nodes, blood vessels, nerves, and the salivary gland under the jawbone.

Are hot tubs good for diabetes? Can a hot shower lower blood sugar?

Is it all right for a diabetic to use hot tubs?

According to the U.S. Consumer Product Safety Commission, all people who have diabetes, a history of heart disease, or blood pressure problems should check with a doctor on the advisability of using a hot tub.

They also caution that nobody should bathe in a hot tub with water that is 104 degrees F. or higher, since water of 106 degrees F. can be fatal even to fully healthy adults. (Barbara, who considers herself a fully healthy adult, gets rather frightening nosebleeds after sitting in Japanese baths or hot springs.) The preceding section on foot care explained that you shouldn't put your feet in water above 85 degrees F. or 90 degrees F Since it's a little awkward to soak in a hot tub with your feet hanging out, it looks as if tepid tubs should be the order of the day for diabetics.


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