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.

Does portion size affect blood sugar?

Do I have to measure my food?

Yes, it's the only way to be sure you're getting the amount of food your diet specifies. It's not easy to recognize a half cup of orange juice or rice, unless you've measured them out a few times, and six grams of beef would be even harder. A food scale is a good investment in the beginning of your diabetic days to get you on the right measuring track.

If you're really conscientious about weighing and measuring your food at first, you'll be amazed at how quickly you learn to eye measure or, as with bread, hand-weigh, when you're out to dinner at a friend's house or in a restaurant. (Hint: sometimes it helps to discreetly nudge your food into little piles, the better to estimate the quantity.) You may get so good at this eye measuring and hand weighing that you can do weight and quantity guessing parlor tricks, like the guy who guesses weights at the circus. Of course, the real and worthwhile trick is using your skill to eat the exact amount of food on your diet.


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