Table of Contents
What are the complications of radical mastectomy?
Complications associated with a modified radical mastectomy include issues associated with wound healing, such as hematoma, infection, dehiscence, chronic seroma, and skin necrosis. The risk of skin necrosis often involves the superior flap and the wound edges.
What is the difference between radical neck dissection and modified radical neck dissection?
Modified radical neck dissection involves removal of cervical nodes, levels I through V, as in classical radical neck dissection, but with preservation of one or more of the key extranodal structures (spinal accessory nerve, sternocleidomastoid muscle, and internal jugular vein).
What is a modified radical neck dissection?
Modified radical neck dissection (MRND) is defined as the excision of all lymph nodes routinely removed in a radical neck dissection with preservation of one or more nonlymphatic structures (SAN, IJV, SCM).
What is removed in a modified radical neck dissection?
Radical neck dissection. All the tissue on the side of the neck from the jawbone to the collarbone is removed. The muscle, nerve, salivary gland, and major blood vessel in this area are all removed. Modified radical neck dissection.
What is the difference between a radical mastectomy and a modified radical mastectomy?
Both radical and modified radical mastectomy include removing the entire breast. During a modified radical mastectomy, the surgeon removes some underarm lymph nodes. The key difference is that in a radical mastectomy, the surgeon removes all the underarm lymph nodes plus the entire chest muscle.
What functional impairment would result from radical mastectomy?
Impaired shoulder function after mastectomy and axillary dissection for breast cancer is a well-known problem and adjuvant radiotherapy given to the mastectomy site and axilla increases the risk of impairment of shoulder function (1а/5).
Which structure is preserved during modified radical neck dissection?
Modifications to the radical neck dissection include the following: Type I: The spinal accessory nerve is preserved. Type II: The spinal accessory nerve and the internal jugular vein are preserved. Type III: The spinal accessory nerve, the internal jugular vein, and the sternocleidomastoid muscle are preserved.
What is the difference between radical vs modified radical mastectomy?
How many modifications to the radical neck dissection are there?
What was the 5 year survival rate of Halsted radical mastectomy?
The five year survival rate for those treated by standard radical mastectomy was 81 per cent, and for those treated by modified radical mastectomy, it was 84 per cent.
What are the postoperative complications of modified radical neck dissection (MRND)?
Postoperative complications following modified radical neck dissection (MRND) match those experienced with radical neck dissection (RND) and include hematoma, infection, skin flap necrosis, chyle fistula, marginal mandibular nerve injury, and carotid artery rupture.
Are You a candidate for a less radical neck dissection?
Most patients are candidates for a less radical operation. This term describes a variety of neck dissections that preserve structures that are usually sacrificed in the radical neck dissection such as the spinal accessory nerve, the internal jugular vein or sternocleidomastoid muscle.
What are the complications of bilateral neck dissection?
Bilateral neck dissection Increased morbidity and mortality has been demonstrated in patients undergoing simultaneous bilateral neck dissections [31]. Higher rates of infections and fistulae occur and complications such as facial oedema and swelling are commonplace, particularly if both IJVs are simultaneous transacted.
What are the possible co-morbidities associated with neck dissection?
Co-morbidities such as cardiac, respiratory and hepatic disease are common place in patients undergoing neck dissections in either an elective or therapeutic sense. Additional immunosuppression caused by conditions such as diabetes or relative malnutrition should be optimised since they predispose to complications including as wound infection.