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.

Can you have a normal life after a heart attack?

Will I be an invalid for the rest of my life? 

In most cases, as a survivor, you are not an invalid. It is no longer thought that you have to “take it easy” after a heart attack. An early return to work and to full exercise is a new goal in advanced cardiac rehabilitation. This is an important point to keep in mind, and friends and relatives caring for you must recognize this as well. Invalidism can and must be avoided. Invalidism has both physical and psychological repercussions, and you will enjoy a fuller recovery if you have confidence that healing is possible and that you can return to a productive life.
There are some exceptional cases that require extra care, and if you are one such case, this would have been discovered during your hospital stay. People who have had major damage to the left ventricle of the heart, the chamber that pumps the blood out into the rest of the body, are at risk for cardiac arrhythmias and may not be able to return to full activity. Your health professional will explain any restrictions that may apply to you. Pay close attention, take notes, and try to have a companion in the room also to write down details. Make sure to ask any and all questions. Your hospital discharge recommendations will make clear whether you should limit your physical activity and exercise; follow the plans outlined very carefully. If you are not one of the exceptional cases, you should enjoy a rather rapid return to regular activity, including sexual activity.


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