Dr. Gallagher's Podcast – Details, episodes & analysis

*PODCAST EXCLUSIVE* - 9.28.24

- 9.27.24

Quick Review #236 - #surgery #surgeon #doctorgallagher #oralsurgery #oralsurgeon #omfs #dentist #dentistry #dental

1. Radical Neck Dissection (RND):

This is the most extensive type of neck dissection and involves the removal of:

• All lymph nodes from Levels I to V.

• The sternocleidomastoid muscle (SCM).

• The internal jugular vein (IJV).

• The spinal accessory nerve (cranial nerve XI).

This procedure is used when cancer has extensively involved these structures, and there is no option for their preservation.

2. Modified Radical Neck Dissection (MRND):

The goal of the modified radical neck dissection is to remove all lymphatic tissue from Levels I-V while preserving one or more of the following non-lymphatic structures that are removed in a radical neck dissection:

• Type I: Spinal accessory nerve preserved.

• Type II: Spinal accessory nerve and internal jugular vein preserved.

• Type III: Spinal accessory nerve, internal jugular vein, and sternocleidomastoid muscle preserved.

This approach is designed to reduce morbidity, particularly related to shoulder dysfunction, while still removing the affected lymph nodes.

3. Selective Neck Dissection (SND):

Selective neck dissection involves the removal of only certain groups of lymph nodes, depending on the location of the primary tumor and the risk of metastasis to specific levels. The following are the most common types of selective neck dissections:

• SND (I-III): Levels I, II, and III lymph nodes are removed (used for oral cavity cancers).

• SND (II-IV): Levels II, III, and IV are removed (used for oropharyngeal, laryngeal, and hypopharyngeal cancers).

• SND (I-IV): Levels I, II, III, and IV lymph nodes are removed.

• SND (Posterior Triangle or Level V): Lymph nodes in Level V are removed (often used for skin cancers or melanoma of the head and neck).

The selective approach is designed to minimize functional and cosmetic morbidity while still achieving oncologic control.

4. Extended Neck Dissection:

This involves removing lymph node groups or structures when cancer extends into areas beyond the typical boundaries of the neck:

• Retropharyngeal lymph nodes.

• Paratracheal nodes.

• Mediastinal nodes.

• Additional non-lymphatic structures like the hypoglossal nerve or vagus nerve, depending on cancer involvement.

References:

1. BrainKart. (n.d.). Neck dissection. Medical surgical nursing: Management of patients with oral and esophageal disorders.

2. Shah, J. P., & Patel, S. G. (2012). Head and neck surgery and oncology (4th ed.). Elsevier.

3. Robbins, K. T., Ferlito, A., Shah, J. P., Hamoir, M., Takes, R. P., & Rinaldo, A. (2011). The evolving role of selective neck dissection for head and neck squamous cell carcinoma. European Archives of Oto-Rhino-Laryngology, 268(3), 433-438.

4. Medina, J. E., & Byers, R. M. (1989). Supraomohyoid neck dissection: Rationale, indications, and surgical technique. Head & Neck, 11(2), 111-122.

#podcast #podcasts #dentalpodcast #dentalpodcasts #doctorgallagherpodcast #doctorgallagherspodcast #doctor #dentistry #oralsurgery #dental #viral #dentalschool #dentalstudent #omfs #surgeon #doctorlife #dentistlife #residency #oralsurgeon #dentist #doctorgallagher

Topics:

💀 Oral & Maxillofacial Surgery

📖 CBSE Exam Material

🔬Oral Pathology

🫀Anatomy

💉Anesthesia

🚑 ATLS (Advanced Trauma Life Support)

🔗 Links to my platforms: https://linktr.ee/doctorgallagher/

#podcast #podcasts #dentalpodcast #dentalpodcasts #doctorgallagherpodcast #doctorgallagherspodcast #doctor #dentistry #oralsurgery #dental #viral #dentalschool #dentalstudent #omfs #surgeon #doctorlife #dentistlife #residency #oralsurgeon #dentist #doctorgallagher

Top 3 Viewers on this Episode on TikTok LIVE #29 Q&A:

1st - @meepwh0ru

2nd - @natalia

3rd – @samstaxz

1. Questions Asked:

00:00 - "Was it really difficult to get into residency?"

02:20 - "If you could do another specialty, what would it be?"

03:00 - "I'm starting D2 tomorrow. However, I'll be held back next year. How do you deal with being with a new class?"

05:00 - "What CBSE study materials did you use?"

08:10 - "Do you play any video games?"

08:40 - "My endodontist friend said general dentists have no business doing molar root canals. What's about that?"

14:20 - "What were you allowed to do in your general surgery portion of OMFS residency?"

15:00 - "Can you moonlight during residency?"

17:00 - "Any tips for all my OMFS interviews applying this coming cycle?"

18:45 - "Do you recommend taking the CBSC?"

20:20 - "What are the top three things dental schools look at?"

21:45 - "How do you feel about the DSO question, if you think dentistry is gonna end up cooked like pharmacy?"

23:00 - "Is there any space for plastics in OMFS?"

25:40 - "Do Perio residents work weekends and or take call?"

26:10 - "What was free time like during dental school versus OMFS?"

2. Topics & Stories:

02:20 - Discussing choosing a specialty in dentistry and the drawbacks of certain specialties like taking calls.

03:00 - Advice on handling adversity in dental school, including competitiveness and class dynamics.

05:00 - Strategies and resources for studying for the CBSE exam, including study schedules and material preferences.

08:00 - Discussing the stigma around watching shows like "Avatar: The Last Airbender" and general interests outside of dentistry.

10:30 - Advice for students preparing to enter dental school and OMFS programs, including study tips and maintaining a good attitude.

14:20 - Sharing experiences from general surgery rotations during OMFS residency.

15:00 - Discussing the policy on moonlighting during residency and the implications on personal time.

16:04 - Preparing for OMFS interviews, emphasizing that interviews are more conversational than formal exams.

18:45 - Opinions on the timing and strategy for taking the CBSE exam throughout dental school.

19:30 - General advice for students in accelerated dental programs on effective studying and managing anxiety.

20:20 - Key factors that dental schools look for in applicants, such as GPA, DAT scores, and letters of recommendation.

21:45 - Discussing the impact of DSOs and insurance companies on the dental profession and future projections.

3. Quotes & Wisdom:

On Overcoming Adversity in School:

"What people can't see, they don't believe. People only believe what they can see. So my thing was, study around them... When people see you studying, they respect it."

On Teamwork and Collaboration:

"Always be willing to lend a helping hand. Be a teammate, be a true teammate, okay? And you will succeed."

On Managing Challenges and Stress:

"It's about the reps. Once you have a good Quizlet and get those figures on there, once you have that reps, repetitions... you're gonna ace all those exams."

On Effective Studying and Time Management:

"Efficient studying is still being able to obtain those, to achieve getting those A's on exams, but now going from study from five hours to four hours to three hours."

On Building a Strong Foundation in Education:

"I would not compromise your attitude and your personality and your cooperation with other students in the class just for your own academic success."

On Leadership and Networking:

"Lead by example, lead by networking, lead by giving to others without expecting anything in return."

Watch in this episode = Citizen Caliber 2100 Limited Edition Panda

8.25.24

#podcast #podcasts #dentalpodcast #dentalpodcasts #doctorgallagherpodcast #doctorgallagherspodcast #doctor #dentistry #oralsurgery #dental #viral #dentalschool #dentalstudent #omfs #surgeon #doctorlife #dentistlife #residency #oralsurgeon #dentist #doctorgallagher