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.


• Start slowly. Too much, too soon, too fast can lead to medical problems, fatigue, and other negative consequences, as well as increase chances of injury.

• Choose activities that are pleasurable. If you get bored or the activity is inconvenient, you may not exercise regularly Remember, there are many exercise options, and it’s okay to experiment.

• Choose a variety of activities. Vary your routine walk one day, swim another day.

• Set goals that work for you gradually incorporate them into your daily activity.

• Keep an exercise diary at first to see if you have met your goals.

• Schedule exercise times. Consider them a commitment, like a business or social appointment. Make these times convenient.

• Get some support. Enlisting a friend or companion is often helpful, particularly whenas happens to everyone motivation sags or interest lags.

•Join a walking club. It’s a good way to meet people who share your health oriented goals.

• Get expert help. Many gyms, community recreation departments, community colleges, senior centers, and the YMCA have exercise counselors.

• Be sure you have comfortable gear. Wear clothes that fit comfortably and are appropriate for the weather and activity. Wear good quality, comfortable shoes.

• Alternate aerobic exercise with strengthening activities to protect your feet and legs and to add variety. Remember that variety is the spice oflife; and if your physical activities are interesting, you are more likely to do them regularly.

• Go out and do it!


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