{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,18]],"date-time":"2026-09-18T00:52:37Z","timestamp":1789692757912,"version":"4.0.1"},"reference-count":20,"publisher":"Wiley","issue":"12","license":[{"start":{"date-parts":[[2020,8,24]],"date-time":"2020-08-24T00:00:00Z","timestamp":1598227200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Head &amp; Neck"],"published-print":{"date-parts":[[2020,12]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>In locally advanced sinonasal squamous cell carcinoma (SNSCC), management of the clinically node\u2010negative (cN0) neck is variable and elective neck dissection (END) remains controversial.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Patients with surgically treated T3\/T4 cN0 M0 SNSCC were identified using the NCDB. Overall survival (OS) was assessed by Cox proportional hazard analysis in propensity score\u2010matched cohorts. Factors associated with END were evaluated with logistic regression.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Two hundred twenty patients underwent END (19.6%). END did not correlated with OS in propensity score\u2010matched cohorts (HR 0.971, 95% CI 0.677\u20101.392), a maxillary sinus tumor subgroup (HR 1.089, 95% CI 0.742\u20101.599), or by radiation status [radiation: (HR 0.802, 95% CI 0.584\u20101.102); no radiation: (HR 0.852, 95% CI 0.502\u20101.445)]. The occult metastasis rate in the END cohort was 12.7%.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>END did not significantly improve OS in this study. Further information on disease\u2010free survival is necessary to determine its role in advanced\u2010stage SNSCC.<\/jats:p><\/jats:sec>","DOI":"10.1002\/hed.26418","type":"journal-article","created":{"date-parts":[[2020,8,24]],"date-time":"2020-08-24T17:37:15Z","timestamp":1598290635000},"page":"3655-3662","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":44,"title":["Elective neck dissection for <scp>T3<\/scp>\/<scp>T4 cN0<\/scp> sinonasal squamous cell carcinoma"],"prefix":"10.1002","volume":"42","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8744-7168","authenticated-orcid":false,"given":"Kayva L.","family":"Crawford","sequence":"first","affiliation":[{"name":"Division of Otolaryngology\u2010Head &amp; Neck Surgery, Department of Surgery University of California San Diego  San Diego California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Aria","family":"Jafari","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2010Head &amp; Neck Surgery Massachusetts Eye and Ear Infirmary  Boston Massachusetts USA"},{"name":"Department of Otolaryngology\u2010Head &amp; Neck Surgery Harvard Medical School  Boston Massachusetts USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jesse R.","family":"Qualliotine","sequence":"additional","affiliation":[{"name":"Division of Otolaryngology\u2010Head &amp; Neck Surgery, Department of Surgery University of California San Diego  San Diego California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6462-9308","authenticated-orcid":false,"given":"Emelia","family":"Stuart","sequence":"additional","affiliation":[{"name":"School of Medicine University of California San Diego  San Diego California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Adam S.","family":"DeConde","sequence":"additional","affiliation":[{"name":"Division of Otolaryngology\u2010Head &amp; Neck Surgery, Department of Surgery University of California San Diego  San Diego California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Joseph A.","family":"Califano","sequence":"additional","affiliation":[{"name":"Division of Otolaryngology\u2010Head &amp; Neck Surgery, Department of Surgery University of California San Diego  San Diego California USA"},{"name":"Moores Cancer Center  La Jolla California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7885-4327","authenticated-orcid":false,"given":"Ryan K.","family":"Orosco","sequence":"additional","affiliation":[{"name":"Division of Otolaryngology\u2010Head &amp; Neck Surgery, Department of Surgery University of California San Diego  San Diego California USA"},{"name":"Moores Cancer Center  La Jolla California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2020,8,24]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00405-013-2591-0"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1001\/archotol.128.9.1079"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1001\/archotol.133.8.796"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1002\/cncr.28108"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.1002\/lary.24264"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.1002\/hed.1144"},{"key":"e_1_2_8_8_1","doi-asserted-by":"publisher","DOI":"10.1080\/00016480510036457"},{"key":"e_1_2_8_9_1","unstructured":"National Comprehensive Cancer Network. 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