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The study population included adult patients with MEC who underwent parotidectomy.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>A total of 1233 patients were included. Histopathology demonstrated well, moderately, and poorly differentiated MEC 47.12%, 39.98%, and 12.90% of the time, respectively. END was performed in 78.67% of patients, resulting in nodal upstaging in 4.43% and identification of extracapsular extension (ECE) in 0.72%. RT was utilized in 67.33% of patients with advanced pathological features. Neither END nor RT improved overall survival separately (<jats:italic>p<\/jats:italic>\u2009&lt;\u20090.05) or combined (adjusted HR: 1.19, 95%CI: 0.52, 2.70, <jats:italic>p<\/jats:italic>\u00a0=\u00a00.68).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>This study provides an epidemiological perspective regarding patients with clinically T1\u20102, N0 MEC. There was no observed survival advantage with END and RT.<\/jats:p><\/jats:sec>","DOI":"10.1002\/hed.27128","type":"journal-article","created":{"date-parts":[[2022,6,22]],"date-time":"2022-06-22T13:37:07Z","timestamp":1655905027000},"page":"2151-2161","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":11,"title":["Presentation and outcomes of patients with clinically <scp>T1<\/scp>\u20102, <scp>N0<\/scp> parotid mucoepidermoid carcinoma: The roles of elective neck dissection and adjuvant radiotherapy"],"prefix":"10.1002","volume":"44","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3534-7253","authenticated-orcid":false,"given":"Zaid","family":"Al\u2010Qurayshi","sequence":"first","affiliation":[{"name":"Department of Otolaryngology \u2013 Head &amp; Neck Surgery University of Iowa Hospitals and Clinics  Iowa City Iowa"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Christopher Blake","family":"Sullivan","sequence":"additional","affiliation":[{"name":"Head and Neck Institute Cleveland Clinic Foundation  Cleveland Ohio USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Derek B.","family":"Allison","sequence":"additional","affiliation":[{"name":"Department of Pathology &amp; Laboratory Medicine University of Kentucky College of Medicine  Lexington Kentucky USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Marisa R.","family":"Buchakjian","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology \u2013 Head &amp; Neck Surgery University of Iowa Hospitals and Clinics  Iowa City Iowa"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2022,6,22]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.soc.2015.03.011"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1097\/MLG.0b013e31815a6b0b"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1001\/archotol.130.7.849"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1002\/cncr.23825"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.1043\/1543\u20102165\u2010133.11.1763"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.1097\/PAS.0000000000000932"},{"key":"e_1_2_8_8_1","doi-asserted-by":"publisher","DOI":"10.1002\/lary.22419"},{"key":"e_1_2_8_9_1","doi-asserted-by":"publisher","DOI":"10.1097\/PAS.0b013e3181de3021"},{"key":"e_1_2_8_10_1","doi-asserted-by":"publisher","DOI":"10.1097\/PAS.0000000000001252"},{"key":"e_1_2_8_11_1","doi-asserted-by":"publisher","DOI":"10.1001\/archotol.130.2.174"},{"key":"e_1_2_8_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjoto.2018.03.022"},{"key":"e_1_2_8_13_1","doi-asserted-by":"publisher","DOI":"10.1159\/000497438"},{"key":"e_1_2_8_14_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00405\u2010007\u20100297\u2010x"},{"key":"e_1_2_8_15_1","unstructured":"National Cancer Data Base.https:\/\/www.facs.org\/quality-programs\/cancer\/ncdb. 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