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Between 2006 and 2015, 259 patients with primary salivary gland carcinoma were treated with END. Variables potentially associated with regional metastases were analyzed using logistic regression. Neck recurrence\u2010free survival was calculated using the Kaplan\u2013Meier method.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Occult metastases were found in 36 of the patients treated with END (14%) and were particularly frequent among patients with T3\/T4 tumors and high\u2010grade histology tumors. In multivariate analyses, high\u2010grade histology and vascular invasion were associated with occult metastases.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>We recommend END of levels II and III for patients with high\u2010grade or unknown histological grade tumors, and for T3\/T4 tumors. Levels I, II, and III should be included in END in patients with submandibular, sublingual, or minor salivary gland carcinomas.<\/jats:p><\/jats:sec>","DOI":"10.1002\/hed.26667","type":"journal-article","created":{"date-parts":[[2021,3,18]],"date-time":"2021-03-18T07:20:10Z","timestamp":1616052010000},"page":"1898-1911","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":15,"title":["Surgical treatment of the neck in patients with salivary gland carcinoma"],"prefix":"10.1002","volume":"43","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9348-7078","authenticated-orcid":false,"given":"Marie","family":"Westergaard\u2010Nielsen","sequence":"first","affiliation":[{"name":"Department of Otorhinolaryngology, Head and Neck Surgery and Audiology Odense University Hospital  Odense 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