Neck dissection is surgery to remove the lymph nodes in your neck. Cells from cancers in the mouth or throat can travel in the lymph fluid and get trapped in your lymph nodes. The lymph nodes are removed to prevent cancer from spreading to other parts of your body.
When You Were in the Hospital
You were likely to be in the hospital for 2 to 3 days. To help get ready for going home, you may have received help with:
Drinking, eating, and perhaps talking
Caring for your surgical wound in any drains
Using your shoulder and neck muscles
Breathing and handling secretions in your throat
Managing your pain
What to Expect at Home
Your health care provider will give you a prescription for pain medicines. Get it filled when you go home so you have the medicine when you need it. Take your pain medicine when you start having pain. Waiting too long to take it will allow your pain to get worse than it should.
DO NOT take aspirin, ibuprofen (Advil, Motrin), or naproxen (Aleve, Naprosyn). These medicines may increase bleeding.
You will have staples in the wound and mild redness and swelling for the first couple of weeks after surgery.
You may have a drain in your neck when you leave the hospital. The nurse will tell you how to care for it.
Healing time will depend on how much tissue was removed.
Diet and Nutrition
You can eat your regular foods unless your provider has given you a special diet.
If pain in your neck and throat is making it hard to eat:
Take your pain medicine 30 minutes before meals.
Choose soft foods, such as ripe bananas, hot cereal, and moist chopped meat and vegetables.
Limit foods that are hard to chew, such as fruit skins, nuts, and tough meat.
If one side of your face or mouth is weaker, chew food on the stronger side of your mouth.
Keep an eye out for swallowing problems, such as:
Coughing or choking, during or after eating
Gurgling sounds from your throat during or after eating
Throat clearing after drinking or swallowing
Slow chewing or eating
Coughing food back up after eating
Hiccups after swallowing
Chest discomfort during or after swallowing
Unexplained weight loss
You may move your neck gently sideways, up and down. You may be given stretching exercises to do at home. Avoid straining your neck muscles or lifting objects weighing more than 10 lbs. for 4 to 6 weeks.
Try to walk every day. You can return to sports (golf, tennis, and running) after 4 to 6 weeks.
Most people are able to go back to work in 2 to 3 weeks. Ask your provider when is it is OK for you to return to work.
You will be able to drive when you can turn your shoulder far enough to see safely. DO NOT drive while you are taking strong (narcotic) pain medicine. Ask your provider when it is OK for you to start driving.
Make sure your home is safe while you are recovering.
Ashutosh Kacker, MD, BS, Professor of Clinical Otolaryngology, Weill Cornell Medical College, and Attending Otolaryngologist, New York-Presbyterian Hospital, New York, NY. Review provided by VeriMed Healthcare Network. Also reviewed by David Zieve, MD, MHA, Isla Ogilvie, PhD, and the A.D.A.M. Editorial team.