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Related Concept Videos

Aneurysm III: Interprofessional Care01:26

Aneurysm III: Interprofessional Care

Aneurysm management involves either conservative medical therapy or surgical intervention, depending on the size and symptoms of the aneurysm. Conservative management is generally reserved for smaller, asymptomatic aneurysms, while larger or symptomatic aneurysms often necessitate surgical repair.Conservative Medical TherapyFor small, asymptomatic aneurysms, particularly abdominal aortic aneurysms (AAA) less than 5.5 centimeters in diameter, conservative medical therapy is recommended. This...
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Aneurysm IV: Nursing Management

Vigilant monitoring for aneurysm rupture is essential for patients undergoing aortic surgery.Preoperative Nursing ManagementContinuously monitor the patient for manifestations of aneurysm rupture, such as pallor, weakness, tachycardia, hypotension, abdominal, back, groin, or periumbilical pain, changes in consciousness, and a pulsating abdominal mass. Regularly assess the patient's peripheral pulses.Instruct the patient to consume a clear liquid diet the day before surgery and administer...
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Healing II: Complications

Complications during healing arise when tissue repair is altered by local or systemic factors. These changes involve abnormal collagen deposition, altered biomechanics, and reduced vascular supply, impairing restoration of normal structure and function.Loss of FunctionScar tissue differs significantly from the original tissue it replaces. In the skin, fibrosis lacks adnexal structures such as hair follicles, sebaceous glands, and sweat glands. Their absence reduces tactile sensitivity, impairs...
Aneurysm II: Clinical Manifestations and Diagnostic Studies01:21

Aneurysm II: Clinical Manifestations and Diagnostic Studies

Thoracic, aortic arch and abdominal aneurysms are significant vascular conditions that can present with various clinical manifestations and lead to serious complications. Understanding these manifestations and the appropriate diagnostic studies is essential for effective management and treatment.Thoracic Aortic AneurysmsThoracic aortic aneurysms often remain asymptomatic until they reach a size that impinges on adjacent structures. They typically cause deep, diffuse chest pain that radiates to...
Muscles of the Anterior Neck01:26

Muscles of the Anterior Neck

The anterior neck muscles are the group of muscles covering the front part of the neck. These muscles are classified into three subgroups. The first one is the superficial muscles, the most visible muscles in the front of the neck. It includes the platysma and sternocleidomastoid. The second group is the suprahyoid muscles, located above the hyoid bone. This group comprises the digastric, mylohyoid, geniohyoid, and stylohyoid. Lastly, the infrahyoid muscles are found below the hyoid bone and...
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Esophageal Perforation-II: Clinical Manifestations and Management

Esophageal perforations manifest in various clinical forms, influenced by factors such as the perforation's cause and location (cervical, intrathoracic, or intra-abdominal), the extent of contamination, and potential injury to adjacent mediastinal structures. The timing between the perforation occurrence and treatment initiation also affects the clinical presentation.
Clinical Manifestations:

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Updated: Jun 4, 2026

Modified Radical Neck Dissection for Cervical Metastasis
06:05

Modified Radical Neck Dissection for Cervical Metastasis

Published on: February 20, 2026

[Neck dissection complications].

Rogério Aparecido Dedivitis1, André Vicente Guimarães, Elio Gilberto Pfuetzenreiter

  • 1Departamento de Cirurgia da Faculdade de Medicina da Universidade de São Paulo, São Paulo/SP. dedivits.hns@uol.com.br

Brazilian Journal of Otorhinolaryngology
|February 23, 2011
PubMed
Summary
This summary is machine-generated.

Neck dissection for upper aerodigestive tract cancers can cause complications, primarily nerve injuries. The marginal mandibular nerve (5.5%) and accessory nerve (5.1%) were most frequently affected, with no perioperative deaths.

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Area of Science:

  • Head and Neck Surgery
  • Surgical Oncology
  • Otolaryngology

Context:

  • Neck dissection (ND) is a critical surgical procedure for upper aerodigestive tract squamous cell carcinoma.
  • The proximity of vital structures during ND inherently carries risks of complications.
  • Understanding complication incidence is crucial for patient management and surgical technique refinement.

Purpose:

  • To determine the incidence of perioperative complications associated with neck dissection.
  • To identify the most frequent complications following ND in patients with upper aerodigestive tract cancers.

Summary:

  • A retrospective study analyzed 708 neck dissections (413 radical, 295 selective) in 480 patients from 1995-2008.
  • No perioperative deaths occurred. The most common complications were marginal mandibular nerve injury (5.5%) and accessory nerve injury (5.1%).
  • Accessory nerve sacrifice was noted in 18 of 21 cases for oncological reasons.

Impact:

  • This study quantifies the risks of nerve injury in neck dissection for head and neck cancers.
  • Findings inform surgical decision-making and patient counseling regarding potential complications.
  • Highlights the importance of nerve preservation techniques while ensuring oncological outcomes.