Dr. BL Prakash | Senior Consultant Orthopaedic & Joint Replacement Surgeon | Tuesday between 9.00 am & 1.00 pm at BOSH Hospital | Call for Appointment
Neck Dissection - Multi Specialty Hospital | Bangalore Orthopaedic and Surgical Hospital | BOSH | Bangalore

H & N Cancers generally spread to lymph glands in the neck. Even if the neck glands are not involved, these might have to be removed for control of cancer. Today, selective or a modified neck dissection is done so that the appearance and shoulder function are well preserved. It, however, causes some swelling of the face which comes down in 2-3 months, more so in patients undergoing post surgery radiation therapy.

  • medicalRadical neck dissection: This refers to the removal of lymph node, as well as the sternocleidomastoid muscle, internal jugular vein and spinal accessory nerve. This used to be the standard neck dissection years ago but has been replaced with neck dissections that spare some or all of these structures. An extended radical neck dissection includes all of these, plus removal of additional lymph node groups or non-lymphatic structures not accounted for in the radical neck dissection definition.
  • medicalModified radical neck dissection: This is the removal of lymph node, while sparing one or more of the three structures taken in the radical neck dissection (sternocleidomastoid muscle, internal jugular vein and spinal accessory nerve). These days, they should be described as a modified radical neck dissection with sacrifice of the internal jugular vein and sternocleidomastoid muscle (this implies that the spinal accessory nerve was preserved).
  • medicalSelective neck dissection: This is the removal of a select group of lymph nodes in the neck, with or without sacrifice of additional non-lymphatic structures. Most neck dissections in current times are really selective neck dissections.