modified radical neck dissection


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modified radical neck dissection

A spectrum of head and neck surgeries performed on a person requiring excision of tissue involved by cancer, usually squamous cell carcinoma. The classic modified radical neck dissection consists of removing all lymph nodes in the neck, as in a radical neck dissection, while preserving the spinal accessory nerve. Other modified radical neck dissections preserve other non-lymphatic structures, such as the spinal accessory nerve, internal jugular vein and sternocleidomastoid muscle.
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Selective neck dissections were performed in 34 patients (20.86%), whereas radical and modified radical neck dissections were performed in 129 patients (79.14%).
(29-32) In our study also total thyroidectomy were performed in 20 cases, total thyroidectomy with modified radical neck dissection in 2 cases and total thyroidectomy with central node dissection in 3 cases.
Key Words: Complication Modified Radical Neck Dissection Squamous cell Carcinoma.
4 patients had CA thyroid for which total thyroidectomy was done with modified radical neck dissection. 3 patients had CA breast for which modified radical mastectomy was done followed by chemotherapy.
He had undergone partial parotidectomy, modified radical neck dissection, and radiotherapy 10 years previously
He was treated with Composite resection with modified Radical Neck Dissection and reconstruction with Pectoralis major Myocutaneous Flap.
In 56% of patients type 3 modified radical neck dissection was done, being a functional dissection it offered a benefits of low morbidity.Grade-3 shoulder dysfunction was noted in 3 cases with extended dissection and 4 cases with type 1 dissection.
He was subjected to total laryngectomy with left modified radical neck dissection, right selective neck dissection and left partial thyroidectomy.
Maintained with N2O:O2 4:2, Isoflurane 0.4%.Completion thyroidectomy with left sided modified radical neck dissection done.
Each patient underwent tumor resection, modified radical neck dissection, and primary reconstruction with a PMF.
Modified radical neck dissection refers to removal of neck lymphatics with conservation of non lymphatics structures.
He subsequently developed a recurrence of the primary 3 months later and underwent further surgery, which involved a radical resection, a superficial parotidectomy, a modified radical neck dissection, and latissimus dorsi flap reconstruction.
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