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.

What are fibrates and how do they work?

What are fibrates? 

Another class of drugs is called fibrates, and the one most commonly used in the United States has been gemfibrozil. Fenofibrate is another fibrate that has just begun to be used here. Physicians use these two drugs to help lower triglycerides, and fenofibrate also is effective in lowering LDL. Physicians tend to prescribe fibrates for people with high triglycerides as the first line of treatment, although, as we’ve already said, niacin will also lower triglycerides.
It’s important to note that the natural way of lowering triglycerides is to use only a moderate amount of alcohol, exercise regularly, stay close to your ideal weight, and eat a diet rich in vegetables and grains and other foods that are very low in sugar. Replacing some breads, potatoes, rice, and com with soy, seeds, nuts, avocado, and olive oil may aid in lowering triglycerides. This involves a partial replacement of carbohydrate rich foods with so-called good fats.


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