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.

How long can diabetes stay in remission? What is a remission?

What is a remission?

A remission is a period when diabetes becomes less severe. For example, an insulin taker might find that he or she can keep in control on less insulin or on diet and pills, or maybe even on diet alone. Or perhaps a pill taker can get by on diet alone. Sometimes a remission lasts quite a while. Sometimes it is shortlived.

Particularly common is the remission that occurs in juvenile diabetes after insulin treatment begins. This often causes the parents, who are already desperately clutching at straws, to think their child has been miraculously cured or that the diagnosis of diabetes was incorrect. False hope. Diabetes is still there. A remission is not a cure and should never be regarded as such. Enjoy it while it lasts, but realize it will eventually end and don't be devastated when it does.


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