{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,1]],"date-time":"2026-06-01T18:51:42Z","timestamp":1780339902754,"version":"3.54.1"},"reference-count":13,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2012,2,6]],"date-time":"2012-02-06T00:00:00Z","timestamp":1328486400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Head &amp; Neck"],"published-print":{"date-parts":[[2013,2]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>The aim of this article was to assess the management of the neck and regional recurrence for squamous cell carcinoma of the maxillary alveolus and hard palate (<jats:italic>n<\/jats:italic> = 43) and compare that to the rest of the oral cancer sites (<jats:italic>n<\/jats:italic> = 465).<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>This is a retrospective report through database and case note review.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The incidence of nodal metastases (pathologic node\u2013positive necks added to regional recurrence for clinical N0 and pathologic N0) was 37% (16\/43) for maxillary alveolus and hard palate compared with 40% (187\/465) for the oral cavity in general. Regional recurrence occurred in 26% (11\/43) in the maxillary alveolus and hard palate compared with 7% (31\/465) in the remaining oral cavity sites (<jats:italic>p<\/jats:italic> = .001).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Squamous cell carcinoma arising in the maxillary alveolus and hard palate has a similar risk of regional metastasis as the rest of the oral cavity, and a lower propensity for selective neck dissection is resulting in higher regional recurrence and lower survival rates. \u00a9 2012 Wiley Periodicals, Inc. 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