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Dentistry · Oral medicine and oral cancer: modified radical neck dissection
Sample itemA neck dissection clears levels I to V but preserves the spinal accessory nerve, internal jugular vein and sternocleidomastoid. Which operation is this?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
A. Modified radical neck dissection
Radical neck dissection removes levels I to V together with the accessory nerve, internal jugular vein and sternocleidomastoid. A modified radical dissection preserves one or more of these, and the version preserving all three has the lowest morbidity.
Option by option
A. Modified radical neck dissection (correct)
Correct. Clearing levels I to V while sparing all three structures is a modified radical dissection.
B. Extended radical neck dissection
Extended radical dissection removes additional nodal groups or structures beyond the radical operation.
C. Radical neck dissection
Radical dissection sacrifices all three structures.
D. Supraomohyoid neck dissection
Supraomohyoid dissection clears only levels I to III.
Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.
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