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Hatti's Plexus, An Added Landmark in Level IB Lymphnode Dissection of Neck.
Sharanbasappa Hatti1, Sharankumar Shetty2, Jui Karmarkar3
1Surgical Oncology, HCG Cancer Hospital, Kalaburagi, Karnataka 585101 India.
Summary
Meticulous neck dissection improves survival in head and neck squamous cell carcinoma. Identifying Hatti
Area of Science:
- Head and Neck Surgery
- Surgical Anatomy
- Oncology
Background:
- Lymph node metastasis is a critical prognostic factor in head and neck squamous cell carcinoma.
- Effective neck dissection is vital for improving patient prognosis and survival rates.
Purpose of the Study:
- To describe a novel anatomical landmark, Hatti's plexus, to aid in safe and effective neck dissection.
- To enhance the preservation of critical structures during neck dissection for head and neck cancers.
Main Methods:
- Detailed anatomical description of Hatti's plexus in relation to the submandibular gland.
- Surgical technique emphasizing identification and preservation of the lingual nerve.
Main Results:
- Hatti's plexus, a complex of small vessels, is consistently found in the deep lobe of the submandibular gland.
- Identification of Hatti's plexus facilitates avoidance of accidental lingual nerve damage.
- Improved surgical field clarity during neck dissection.
Conclusions:
- Hatti's plexus serves as a valuable landmark for surgeons performing neck dissections.
- This anatomical understanding can lead to safer procedures and better outcomes for head and neck cancer patients.
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