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Otol."],"published-print":{"date-parts":[[2009,8]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec id=\"S0022215109004800_sec1\"><jats:title>Background:<\/jats:title><jats:p>Different strategies are available for the management of patients with early (i.e. tumour stage one or two) oral or oropharyngeal carcinoma and a clinically negative neck.<\/jats:p><\/jats:sec><jats:sec id=\"S0022215109004800_sec2\"><jats:title>Material and methods:<\/jats:title><jats:p>In 2006, a questionnaire was sent to the eight head and neck cancer centres of the Dutch Head and Neck Oncology Cooperative Group. This questionnaire covered: the factors influencing the decision to perform an elective neck dissection; the neck staging procedure; and the types of neck dissection undertaken.<\/jats:p><\/jats:sec><jats:sec id=\"S0022215109004800_sec3\"><jats:title>Results:<\/jats:title><jats:p>All eight questionnaires were returned completed. Respondents indicated that the site (<jats:italic>n<\/jats:italic>\u00a0=\u00a06), size (<jats:italic>n<\/jats:italic>\u00a0=\u00a07) and thickness (<jats:italic>n<\/jats:italic>\u00a0=\u00a06) of the primary tumour were important in decisions regarding elective neck dissection. Ultrasound-guided fine needle aspiration cytology was the most frequently used diagnostic technique (<jats:italic>n<\/jats:italic>\u00a0=\u00a07). Depending on the site and stage of the primary tumour presented, in the different cases 3\u20137 of the centres would perform an elective neck dissection. Selective neck dissections (i.e. levels I to III\/IV) were more frequently performed than modified radical neck dissections.<\/jats:p><\/jats:sec><jats:sec id=\"S0022215109004800_sec4\"><jats:title>Conclusion:<\/jats:title><jats:p>There was no uniformity regarding management of the clinically negative neck in patients with early stage oral and oropharyngeal carcinoma, within The Netherlands.<\/jats:p><\/jats:sec>","DOI":"10.1017\/s0022215109004800","type":"journal-article","created":{"date-parts":[[2009,3,3]],"date-time":"2009-03-03T10:00:51Z","timestamp":1236074451000},"page":"889-898","source":"Crossref","is-referenced-by-count":11,"title":["Indications and extent of elective neck dissection in patients with early stage oral and oropharyngeal carcinoma: nationwide survey in The Netherlands"],"prefix":"10.1017","volume":"123","author":[{"given":"R","family":"de Bree","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"I","family":"van der 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