What are the three types of neck dissection?
There are 3 main types of neck dissection surgery:
- Radical neck dissection. All the tissue on the side of the neck from the jawbone to the collarbone is removed.
- Modified radical neck dissection. This is the most common type of neck dissection.
- Selective neck dissection.
What is prophylactic neck dissection?
Prophylactic central neck dissection (pCND) is defined as the complete excision of level VI and VII lymph nodes (based on the recognized anatomic continuity from the neck and superior mediastinum) in patients with no evidence of nodal involvement and may be performed safely in referral centers [5].
What is a Supraomohyoid neck dissection?
The supraomohyoid neck dissection is a selective cervical node dissection that removes the contents of the submental and submandibular triangles (lymph node level I), the jugulodigastric and jugulo-omohyoid lymph node groups, and the lymph node-bearing tissues located anterior to the cutaneous branches of the cervical …
When do you do elective neck dissection?
Unless the treatment of choice for the primary lesion is radiotherapy, elective neck dissection should include removal of nodes in neck levels I through III (plus level IV for cancer of the tongue). During the procedure, lymph nodes positive for metastatic disease may be encountered unexpectedly.
How long does it take to recover from neck dissection surgery?
If you only have a neck dissection, you may be able to go home after just 3 days. If you’ve had any additional surgery, a stay of 1-2 weeks is more common. If you have any complications you may be in for more than 2 weeks.
How long does neck dissection surgery take?
The area for surgery is often marked to make sure there are no errors. You will be kept comfortable and safe by your anesthesia provider. You will be asleep during the surgery. The surgery will take about 2 to 4 hours.
What is elective neck dissection?
This classical surgical procedure involves not only resection of level I to V lymph nodes of the neck but also the tail of the parotid, submandibular gland, sternocleidomastoid muscle, internal jugular vein and spinal accessory nerve.
Why do a neck dissection?
Neck dissection is usually performed to remove cancer that has spread to lymph nodes in the neck. Lymph nodes are small bean shaped glands scattered throughout the body that filter and process lymph fluid from other organs. The immune cells in the lymph nodes help the body fight infection.
What does Level 5 lymph nodes mean?
The lymph nodes contained within level 5 of the neck include the supraclavicular nodes [4]. It is known that occipital and mastoid, lateral neck, scalp, nasal pharyngeal regions drain to level 5 nodes. Large level 5 nodes may contain metastases from nasopharyngeal and thyroid primary malignancies [4].
Is neck dissection necessary?
A neck dissection is useful not only to remove the cancer, but also so that the nodes can be examined by a pathologist. If the microscopic examination by the pathologist shows extensive spread of cancer, additional treatment such as radiation therapy may be recommended.
What is the success rate of neck surgery?
This surgery has a high success rate. Between 93 to 100 percent of people who’ve had ACDF surgery for arm pain reported relief from pain, and 73 to 83 percent of people who had ACDF surgery for neck pain reported positive results.
What are the side effects of a neck dissection?
Side effects
- pain and stiffness.
- bruising.
- signs of infection, such as pain, redness, yellow discharge (pus) or fever.
- a collection of fluid under the skin (seroma) in the neck near the cut.
- swelling due to a buildup of lymph fluid in the soft tissues (lymphedema)
- changes in the shape of the neck.