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 does borderline diabetes mean?

It means nothing. As of 1979, the term is no longer used. In that year the National Diabetes Data Group came up with a new system for classifying diabetes and this classification was endorsed by the Board of Directors of the American Diabetes Association at their annual meeting.

The new classification system wiped out such fuzzy and often misunderstood terms as "borderline diabetes," "chemical diabetes," "subclinical diabetes," "asymptomatic diabetes," and "latent diabetes." All of these terms were replaced with "impaired glucose tolerance."

In a report in the December, 1979 issue of Diabetes, it was pointed out that impaired glucose tolerance is not diabetes and the use of the label "diabetes" for people with "marginal" blood levels, "can invoke social, psychological, and economic sanctions that are unjustified in the light of the lack of severity of their glucose intolerance." (Translation: These people shouldn't be denied jobs that are forbidden to diabetics.) This glucose tolerance test graph shows the difference in glucose levels among a nondiabetic, a person with impaired glucose tolerance, and a diabetic. As the March-April 1980 Diabetes Forecast points out, "While some people whose blood-glucose levels are somewhat elevated do develop diabetes, many people subsequently have normal tests and continue to test 'normal' indefinitely." Our personal opinion is that if you have impaired glucose tolerance you should follow the diabetic lifestyle just to be on the safe side. But then we feel that everybody should follow the diabetic lifestyle.


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