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.

What drugs are used to clot blood? Does aspirin affect blood clotting?

What about blood clotting medication?

The most important agent to decrease blood clotting is aspirin. It is usually recommended that people who have had a heart attack take either a half or a full aspirin or what used to be called a baby aspirin daily to prevent abnormal clumping together of the blood platelets, the small elements in the blood that play a key role in clotting. Clumping is a preliminary step to forming a blood clot, and blood clots can cause problems, including heart attacks, if they form in the coronary arteries.
Treatment with blood clotting medications other than aspirin, such as warfarin, has to be very carefully supervised by your physician, with blood tests done every few weeks to be sure you are getting the right dose. Major interactions with food can occur with some blood clotting medications, because some foods and some vitamin supplements contain a powerful vitamin, vitamin K, that is part of the blood clotting mechanism. If you eat more or less of this vitamin, you may need to change the level of your medication. Tell your health professional if you are eating some foods high in vitamin K, like greens which are very good for you or taking a supplement containing vitamin K, and that you intend to keep their levels fairly constant.

VITAMIN K-RICH FOODS 

• best sources: green leafy vegetables, especially cabbage-family members like broccoli, cabbage, and turnip greens; lettuce; liver.

•fortified cereals and meal replacements (like Ensure or Boost)

•smaller amounts: yogurt and other cultured milks, other milk products, other vegetables, fruits, cereals, eggs, and meat.

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