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 happens after heart attack surgery?

What do I do after I go home? 

The first week’s home care will depend on the treatments you began in the hospital for example, whether after your heart attack you received treatment that effectively opened up the blocked arteries preventing blood flow to your heart, or whether you had bypass surgery. And once again, your treatment plan in the first week home depends on the severity of the heart attack. You may be asked to make a return visit to your physician in this first week. But no matter the severity ofyour heart attack, it is more important than ever during this first week at home to keep an open lifeline to the hospital and your physician.
In general, for the first week, expect to take it easy. You may be able to walk on a flat surface at a moderate pace for ten minutes twice a day (morning and afternoon), and you will need to set a new routine. For example, you may wake up, eat breakfast, take a break to do something sedentary, and let your food digest. Then maybe you’ll take a shower, relax, take your walk, relax, and have lunch. It will be important to space your activities so that you’re not using too much energy, too intensely, all at once. And then evaluate how you feel. Any unusual chest pain, shortness of breath, or irregular or rapid heartbeat should be cause to contact your doctor or the hospital immediately.


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