Hatti’s Plexus, An Added Landmark in Level IB Lymphnode Dissection of Neck

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.