Hatti Sharanbasappa, Shetty Sharankumar, Karmarkar Jui, Sagare Kavyashree
Surgical Oncology, HCG Cancer Hospital, Kalaburagi, Karnataka 585101 India.
Head and Neck Oncosurgery, HCG Cancer Hospital, Hubali, Karnataka 58009 India.
Indian J Otolaryngol Head Neck Surg. 2024 Dec;76(6):6098-6099. doi: 10.1007/s12070-024-05049-0. Epub 2024 Sep 16.
Metastasis of Lymph nodes are the independent prognostic factors in squamous cell carcinoma of head and neck. Hence, meticulous dissection of neck makes an important and vital procedure to help improve prognosis and overall survival rate. The ultimate goal of neck dissection is to remove all the lymph nodes from level I to IV while preserving important anatomic structures that comes across. Clear surgical field helps identify these important structures and preserve them. We have come up with a new term for complex of small vessels which are constant at the deep lobe of submandibular gland, Hatti's plexus which helps in avoiding accidental damage to lingual nerve and provides good surgical field.
The online version contains supplementary material available at 10.1007/s12070-024-05049-0.
淋巴结转移是头颈部鳞状细胞癌的独立预后因素。因此,细致的颈部解剖是一项重要且关键的操作,有助于改善预后和提高总生存率。颈部清扫的最终目标是在保留所遇到的重要解剖结构的同时,清除从I级到IV级的所有淋巴结。清晰的手术视野有助于识别并保留这些重要结构。我们为在下颌下腺深叶恒定存在的小血管复合体提出了一个新术语——哈蒂神经丛,它有助于避免意外损伤舌神经并提供良好的手术视野。
在线版本包含可在10.1007/s12070-024-05049-0获取的补充材料。