Sorry hit the wrong button and sent before I was finished. Danny boy, in answer to your question, There are basically three forms of neck dissection.
Selective Neck Dissection: These neck dissections (another type of modified neck dissection) are procedures that preserve the sternocleidomastoid muscle, the spinal accessory nerve and the jugular vein and also remove less extensive amounts of lymph nodes and surrounding tissue. The anatomy of the neck is such that individual groups of lymph nodes have been defined (we call these levels although they are not defined by the depth of the lymph node group). There five levels described in the lateral neck and all five levels are removed in radical and modified radical neck dissections. Selective neck dissections remove 2-4 levels of lymph nodes. The type of selective neck dissection (and levels removed) will vary depending on the primary cancer site and the lymph nodes at greatest risk of developing metastases.
2. Modified Radical Neck Dissection: This term describes a variety of neck dissections that basically refer to anything that is less than a radical neck dissection. For instance, many times a lymph node metastasis may be present, but all of the lymph nodes at risk can be removed without sacrificing the spinal accessory nerve. This is probably the most common modification of neck dissection. Other situations may present themselves when the sternocleidomastoid muscle, jugular vein or even all three structures (muscle, vein and nerve) can be safely preserved.
3. Radical Neck Dissection This operation has been used for almost 100 years and describes the removal of lateral neck nodes and tissues. Tissue is removed from an area that approaches the midline of the neck in front to the trapezius muscle at the side of the neck. Included in this tissue, which extends from the collarbone (clavicle) inferiorly to the jawbone (mandible) superiorly are dozens of lymph nodes. In addition to lymph nodes, this operation removes the submandibular gland (a salivary gland in the upper neck), the sternocleidomastoid muscle, the jugular vein and the spinal accessory nerve (to the trapezius muscle).
There it is in a nutshell so to speak. Danny, you had Free Form Flap surgery and a MRND is my guess.
Oh and one more thing Dan,
How about those Friggin BEARS!!!!!!!!!!!!!!
Robert
SCC 1.6cm Right Tonsil 10/3/03, 1 Node 3cm, T1N2AM0, Tonsil Removed, Selective Neck Disection, 4 Wks Induction Chemo (Taxol,Cisplatin), 8 Weeks Chemo/Radiation (5FU,Hydroxyurea,Iressa), IMRT x 40, Treatment Complete 2/13/04. 41 Years Old At Diagnosis
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