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

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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 much do you need to weigh to get diabetes?

How much should I weigh?

A very simple and convenient test of the correctness of your weight is to pinch up your flesh just below your ribs at your waistline. Pressing the flesh between your thumb and forefinger, you should find a thickness of between one-half and one inch. If the pinch test reveals more flesh than that, you're too fat.


Another guideline is to think back and recall what you weighed in your early twenties. That's when most of us are at our ideal weight (assuming you weren't overweight then). Tables 2 and 3 will help you find your ideal weight, as they show what is considered both slender and normal for college students. Find your height on the men's or women's chart and you'll have a target weight for slender or normal for yourself. (The slender figure is preferable for diabetics, since that would lessen the demands on your pancreas.)

Incidentally, we don't favor the Metropolitan Life Insurance weight charts, because they tell average weights for Americans, and average in this country is not ideal. It's too heavy, especially for diabetics. Their charts are even revised periodically and the averages go up as Americans continue to eat too much for their sedentary lifestyle.

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