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.

Will you do both sides in the same operation hernia?

Only if it is in your best interest. If these hernias are small or of the easily managed type that require only the correction of the ring (inner door), then it is advisable to do both sides. Obviously, if the hernia is large and requires the rebuilding of an entire new wall, one side should not be pulling against the other. One approach is to repair the apparently more complicated hernia first and decide from that. It is not possible to answer this question in advance. If both sides cannot be repaired at the same time, then the other side can generally be operated on seven or eight days later.

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