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Cervical Neck Lymph Node Dissection

 

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What is cervical neck and lymph node dissection?

Cervical neck and lymph node dissection is a surgical procedure performed to remove lymph nodes and surrounding tissue from the neck region. This procedure is commonly used to diagnose and treat various conditions affecting the lymph nodes, such as cancer or infections.

Why is a cervical neck and lymph node dissection performed?

The primary purpose of cervical neck and lymph node dissection is to address conditions affecting the lymph nodes in the neck region, including:

  • Cancer metastasis: Lymph nodes in the neck may become involved in cancer spread from primary tumors located in the head and neck region, thyroid gland, or other areas.
  • Lymphadenopathy: Enlargement or inflammation of the lymph nodes in the neck due to various underlying conditions, such as infections, autoimmune disorders, or malignancies.
  • Diagnostic biopsy: Removal of lymph nodes for pathological examination to diagnose or stage cancer, determine the extent of lymph node involvement, or assess the spread of infection.

What should I expect during a cervical neck and lymph node dissection?

Before surgery, patients undergo a thorough evaluation, including medical history review, physical examination, imaging studies (such as ultrasound, CT scan, or MRI), and biopsy of suspicious lymph nodes to determine the need for surgery and plan the extent of dissection.

Cervical neck and lymph node dissection are performed under general anesthesia to ensure patient comfort and safety during the procedure. A surgical incision is made in the neck region, typically along the natural skin creases, to access the lymph nodes and surrounding tissues. The surgeon carefully identifies and dissects the lymph nodes and surrounding tissue, removing them in their entirety or in selected groups depending on the extent of lymph node involvement and the underlying condition being treated. After the lymph nodes and surrounding tissues are removed, the incision is closed with sutures or surgical staples, and a sterile dressing is applied to promote healing.

What is the recovery time for neck lymph node surgery?

Depending on the extent of surgery and individual recovery, patients may stay in the hospital for one to several days for observation and postoperative care. You may experience mild to moderate discomfort or soreness at the incision site and in the neck region, which can be managed with prescribed pain medications or over-the-counter pain relievers. It is advised to avoid strenuous activities, heavy lifting, or straining during the initial recovery period to allow the incision to heal properly and minimize the risk of complications. You will need to attend follow-up appointments with your surgeon to monitor your recovery, assess wound healing, and address any concerns or complications.