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.

Is fructose healthy for diabetics?

Is fructose a good sweetener for a diabetic?

Fructose is being promoted now because it is sweeter than table sugar and you can use less of it for the same amount of sweet taste. Therefore, you get fewer calories. Also, the body handles it in such a way that it does not cause the quick and high elevations of blood sugar that regular sugar does. This is why it is claimed to be especially useful for diabetics. Furthermore, it does not require insulin for use by the body.

Sounds great, doesn't it? 

Wouldn't you know there's always a catch. Nobody has yet figured out how increasing the amount of fructose in your diet (it occurs naturally in fruits) affects you in the long run. And if you do use it, you can't just "ingest it freely" as dietitians like to put it. You have to count each tablespoon as one of your fruit exchanges. And don't forget that although fructose doesn't need insulin at the start of the digestion process, after it's been stored in the liver it requires insulin when it's released again as glucose.

Therefore, again we are up in the air. The American Diabetes Association says there is not enough evidence to either accept or reject the use of fructose by diabetics. It almost presents enough of a quandary to make you give up sweets altogether.

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