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.

If you once start taking insulin, do you have to take it for the rest of your life?

If you're a juvenile diabetic, yes, you're probably stuck (!) with it. Occasionally after children or young people are first diagnosed and start using insulin, there comes a honeymoon period. The disease seems to fade away, they can stop taking insulin, and their family believes a miracle has occurred and they are cured. Not so. Like all honeymoons, the diabetes honeymoon eventually comes to an end and insulin injections must begin again. (But enjoy it while it lasts.)

Sometimes if you're an adult-onset diabetic you may be on insulin only until you get your weight down.

Also, diabetics who aren't normally on insulin may have to take it when they're sick or have an infection or are pregnant. Then when they're well again, or the baby is delivered, they can stop.

Finally, Dr. Michael Anderson at the University of Kentucky has discovered that with his HCF diet, many adult onset diabetics taking fewer than twenty units of insulin a day are able to stop taking it altogether. Juvenile diabetics can expect to lower their insulin dosage by about one fourth on the HCF diet.


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