Which nerve can be affected following a neck dissection?

Which nerve can be affected following a neck dissection?

Most of the problems associated with neck dissection are the result of damage to one of two nerves: Accessory nerve – this is a nerve which runs from the top to the bottom of the neck and helps you to move your shoulder.

What is preserved in radical neck dissection?

Modifications to the radical neck dissection include the following: Type I: The spinal accessory nerve is preserved. Type II: The spinal accessory nerve and the internal jugular vein are preserved. Type III: The spinal accessory nerve, the internal jugular vein, and the sternocleidomastoid muscle are preserved.

Which structures are removed in radical neck dissection?

Radical neck dissection, or cervical lymphadenectomy, consists of cervical dissection with removal of the sternocleidomastoid muscle, omohyoid muscle, internal jugular vein, spinal accessory nerve, cervical plexus nerves, submandibular salivary gland, tail of parotid gland, and all intervening lymphoareolar tissue …

How do you identify spinal accessory nerve in neck dissection?

The accessory nerve can also be identified at the entry point into the sternocleidomastoid muscle. This is the perspective of the nerve identification during modified radical neck dissection.

How long is recovery from neck dissection?

Most people are able to go back to work in 2 to 3 weeks. Ask your provider when is it is OK for you to return to work. You will be able to drive when you can turn your shoulder far enough to see safely. Do not drive while you are taking strong (narcotic) pain medicine.

What are the complications of a neck dissection?

The greatest risk in a neck dissection is damage to the nerves, muscles, and veins in the neck. Nerve damage can cause numbness (temporary or permanent) in different regions on the neck and create loss of function (temporary or permanent).

Is neck dissection a major surgery?

Neck dissection is a major surgery done to remove lymph nodes that contain cancer. It is done in the hospital. Before surgery, you will receive general anesthesia.

When do you use a radical neck dissection?

Indications for Modified Radical Neck Dissection For patients who are clinically staged N0 or N1, a selective neck dissection or MRND would be appropriate. In patients with N2 disease, MRND is reasonable if any of the aforementioned nonlymphatic structures can be safely preserved.

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 is the nerve point of the neck?

Punctum nervosum, also known as Erb’s point or the nerve point of the neck, is a point half way along the posterior border of the sternocleidomastoid muscle from which all cutaneous branches of the cervical plexus converge and become superficial.

What can you eat after neck dissection surgery?

Yes, at least for the time being. You may experience difficulty swallowing after surgery so start eating soft foods, such as yogurt, mashed potatoes or scrambled eggs. If your throat is sore, avoid spicy or acidic foods and drinks, such as curry and orange juice.

How serious is neck dissection surgery?

What is a neck dissection and why is it performed?

What is a Neck Dissection and Why is it Performed? 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.

How long does it take to recover from a neck dissection?

The important structures to be saved must first be identified, and exposure is key to finding and protecting these nerves and blood vessels. Recovery time from a neck dissection alone is quite quick. If a patient has only had a neck dissection, the total hospital stay may only be several days.

How is the facial nerve preserved in a parotidectomy?

The facial nerve is located and preserved during this operation; however, this requires significant dissection and will result in increased risk of temporary facial weakness compared to a superficial parotidectomy. This is a total parotidectomy that also involves resection of the facial nerve.

Can a tumor be removed at the same time as neck dissection?

If the original (also called primary) tumor is going to be treated with surgery, this tumor resection is usually done at the same time as the neck dissection. For example, if the primary site of tumor is the larynx (voicebox), a part or all of the larynx will be removed at the same time as the neck dissection.