Neck DissectionHow to Say It: Nek Di-sekt-shun
by
Cynthia M. Johnson, MA DefinitionNeck dissection is surgery to remove the lymph nodes and surrounding tissue in the neck. There are three types:
Reasons for ProcedureThis surgery may be done to remove neck and throat cancers or to prevent some cancers of the head from spreading after the cancer has been removed. It may also be done to remove a lymph node for biopsy. Possible ComplicationsProblems are rare, but all procedures have some risk. The doctor will go over some problems that could happen, such as:
Things that may raise the risk of problems are:
What to ExpectPrior to ProcedureThe surgical team may meet with you to talk about:
AnesthesiaGeneral anesthesia will be used. You will be asleep. Description of ProcedureAn incision will be made on the side of the neck. The selected tissue will be identified and separated from tissue that will stay. Lymph nodes and selected tissue will then be removed. A person having a radical neck dissection will also have the jugular vein, muscles, and nerves removed. Drains may be placed to prevent fluid buildup in the area. The incision is closed with stitches and covered with a bandage. Immediately After ProcedureAfter the operation, you will be taken to the recovery room for observation. You may be monitored in the intensive care unit overnight. How Long Will It Take?2 to 3 hours Will It Hurt?Pain and swelling are common in the first week. Medicine and home care can help. Average Hospital StayThe usual length of stay is a 2 to 3 days, but it depends on the reason for surgery. If you have any problems, you may need to stay longer. Post-procedure CareAt the HospitalRight after the procedure, the staff may:
During your stay, staff will take steps to lower your chance of infection, such as:
You can also lower your chance of infection by:
At HomeActivities will be limited during recovery. It will take a few weeks to heal. Some numbness and weakness may take many months to go away. Call Your DoctorCall your doctor if you are not getting better or you have: :
If you think you have an emergency, call for medical help right away. RESOURCES:American Cancer Society https://www.cancer.org National Cancer Institute https://www.cancer.gov References:Argiris A, Karamouzis MV, et al. Head and neck cancer. Lancet. 2008 May 17;371(9625):1695-1709. Description of a neck dissection (removal of the lymph nodes in the neck). Eastern Virginia Medical School website. Available at: https://www.evms.edu/patient_care/specialties/ent_surgeons/services/head__neck/patient_education/description_of_a_neck_dissection_removal_of_the_lymph_nodes_in_the_neck. Accessed August 19, 2020. ENT surgery. MedStar Health website. Available at: https://www.medstarhealth.org/mhs/our-services/surgery/treatments/ent-surgery/#q={}. Accessed August 19, 2020. Management of head and neck cancer. EBSCO DynaMed website. Available at: https://www.dynamed.com/management/management-of-head-and-neck-cancer. Accessed August 19, 2020. Neck dissection. Cedars-Sinai website. Available at: https://www.cedars-sinai.org/programs/cancer/we-treat/head-and-neck/treatments/dissection.html. Accessed August 19, 2020. Last reviewed March 2020 by
EBSCO Medical Review Board
James P. Cornell, MD Last Updated: 8/19/2020 | |
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