Radical Neck Dissection Surgery

Advanced Surgical Treatment for Head & Neck Cancer Spread

What is Radical Neck Dissection?

Radical neck dissection is a major surgical procedure used to remove lymph nodes and surrounding tissues in the neck that are affected by cancer. It is typically performed when head and neck cancers (like oral, throat, laryngeal, or thyroid cancers) spread to the lymph nodes.

This procedure helps prevent further spread and recurrence of cancer and plays a vital role in cancer staging and long-term survival.

Why is it done?

Radical neck dissection is recommended when:

Cancer has spread to multiple lymph nodes in the neck
Enlarged or hard lymph nodes are detected during scans or physical examination
Cancer is not responding to chemotherapy or radiation
Part of comprehensive treatment for advanced head & neck cancer

Types of Neck Dissection

Radical Neck Dissection (RND):

Removes all lymph nodes in one side of the neck along with muscles, nerves, and veins that may be involved.

Modified Radical Neck Dissection (MRND):

Removes lymph nodes but preserves one or more non-lymphatic structures (like the spinal accessory nerve, internal jugular vein, or sternocleidomastoid muscle).

Selective Neck Dissection (SND):

Only specific lymph node groups are removed based on the cancer location.

What to Expect During Surgery

Performed under general anesthesia
Takes about 2–4 hours, depending on extent
Incision is usually made on the side of the neck
May be done alongside other head and neck cancer surgeries
Drain tubes may be placed to remove fluid buildup

Recovery after Surgery

Hospital stay: 2–5 days
Recovery time: 2–4 weeks
Physical therapy may be required for shoulder movement or neck stiffness
Regular follow-ups and imaging to monitor healing and cancer status

Potential Risks and Complications

Numbness or weakness in shoulder or neck
Swelling or fluid buildup (seroma)
Infection or bleeding
Scarring or changes in neck contour
Nerve injury (rare but possible)

Benefits of Radical Neck Dissection

Removes cancer-affected lymph nodes
Helps prevent recurrence or further spread
Provides accurate cancer staging
Can be life-saving in advanced disease
Often improves long-term survival rates

Why Choose Dr. Harish NL?

Specialized Head & Neck Cancer Surgeon
Minimally invasive options where applicable
Skilled in nerve-sparing and reconstructive techniques
Comprehensive cancer care under one roof
Compassionate, personalized care throughout your journey

Radical Neck Dissection