{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,15]],"date-time":"2026-05-15T06:33:59Z","timestamp":1778826839818,"version":"3.51.4"},"reference-count":23,"publisher":"Cambridge University Press (CUP)","issue":"3","license":[{"start":{"date-parts":[[2014,2,19]],"date-time":"2014-02-19T00:00:00Z","timestamp":1392768000000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/www.cambridge.org\/core\/terms"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J. Laryngol. Otol."],"published-print":{"date-parts":[[2014,3]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec id=\"S0022215114000267_sec1\"><jats:title>Objectives:<\/jats:title><jats:p>To determine the patterns of lymph node metastases in oral tongue carcinomas, and examine the implications for elective and therapeutic neck dissection.<\/jats:p><\/jats:sec><jats:sec id=\"S0022215114000267_sec2\"><jats:title>Method:<\/jats:title><jats:p>The study entailed a retrospective analysis of 67 patients with previously untreated oral tongue squamous cell carcinoma who had undergone simultaneous glossectomy and neck dissection.<\/jats:p><\/jats:sec><jats:sec id=\"S0022215114000267_sec3\"><jats:title>Results:<\/jats:title><jats:p>Of the 40 clinically node-negative patients, 7 patients had metastatic lymph nodes on pathological examination. No occult metastasis was found at level IV. Of the 27 clinically node-positive patients, the incidence rate of level IV metastasis was 11.1 per cent (3 out of 27 patients). No \u2018skip metastases\u2019 were found at level IV. Level IV metastases were significantly related to clinically staged nodes categorised as over 2a (<jats:italic>p<\/jats:italic>\u00a0=\u00a00.03) and metastasis to level III (<jats:italic>p<\/jats:italic>\u00a0=\u00a00.01).<\/jats:p><\/jats:sec><jats:sec id=\"S0022215114000267_sec4\"><jats:title>Conclusion:<\/jats:title><jats:p>Routine inclusion of level IV in elective neck dissection is not necessary for clinically node-negative patients with oral tongue squamous cell carcinoma. Furthermore, extended supraomohyoid neck dissection with adjuvant radiotherapy can be sufficient in the treatment of selected patients with clinically node-positive necks.<\/jats:p><\/jats:sec>","DOI":"10.1017\/s0022215114000267","type":"journal-article","created":{"date-parts":[[2014,2,19]],"date-time":"2014-02-19T05:13:45Z","timestamp":1392786825000},"page":"268-273","source":"Crossref","is-referenced-by-count":31,"title":["Patterns of cervical lymph node metastases in oral tongue squamous cell carcinoma: implications for elective and therapeutic neck dissection"],"prefix":"10.1017","volume":"128","author":[{"given":"E","family":"Dogan","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"H O","family":"Cetinayak","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"S","family":"Sarioglu","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"T K","family":"Erdag","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"A O","family":"Ikiz","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"56","published-online":{"date-parts":[[2014,2,19]]},"reference":[{"key":"S0022215114000267_ref4","doi-asserted-by":"publisher","DOI":"10.1002\/(SICI)1097-0347(199710)19:7<583::AID-HED4>3.0.CO;2-3"},{"key":"S0022215114000267_ref2","doi-asserted-by":"publisher","DOI":"10.1016\/j.bjoms.2008.06.001"},{"key":"S0022215114000267_ref12","doi-asserted-by":"publisher","DOI":"10.1097\/00005537-200106000-00029"},{"key":"S0022215114000267_ref8","doi-asserted-by":"publisher","DOI":"10.1080\/000164800750061615"},{"key":"S0022215114000267_ref14","doi-asserted-by":"publisher","DOI":"10.1007\/s00405-009-1155-9"},{"key":"S0022215114000267_ref5","doi-asserted-by":"publisher","DOI":"10.1002\/(SICI)1097-0347(199903)21:2<124::AID-HED5>3.0.CO;2-A"},{"key":"S0022215114000267_ref7","doi-asserted-by":"publisher","DOI":"10.1002\/(SICI)1097-0347(199701)19:1<14::AID-HED3>3.0.CO;2-Y"},{"key":"S0022215114000267_ref19","first-page":"229","article-title":"Is selective neck dissection sufficient treatment for the N0\/Np+ neck?","volume":"26","author":"Davidson","year":"1997","journal-title":"J Otolaryngol"},{"key":"S0022215114000267_ref1","doi-asserted-by":"publisher","DOI":"10.1288\/00005537-199507000-00001"},{"key":"S0022215114000267_ref6","doi-asserted-by":"publisher","DOI":"10.1002\/hed.2880110203"},{"key":"S0022215114000267_ref3","doi-asserted-by":"publisher","DOI":"10.1046\/j.1365-2273.1999.00224.x"},{"key":"S0022215114000267_ref10","volume-title":"AJCC Cancer Staging Manual","author":"Edge","year":"2010"},{"key":"S0022215114000267_ref11","doi-asserted-by":"publisher","DOI":"10.1002\/cncr.23278"},{"key":"S0022215114000267_ref15","doi-asserted-by":"publisher","DOI":"10.1016\/j.otohns.2005.09.025"},{"key":"S0022215114000267_ref13","doi-asserted-by":"publisher","DOI":"10.1007\/s00259-006-0088-4"},{"key":"S0022215114000267_ref16","doi-asserted-by":"publisher","DOI":"10.1177\/0194599812439664"},{"key":"S0022215114000267_ref17","doi-asserted-by":"publisher","DOI":"10.1053\/ajot.2001.20681"},{"key":"S0022215114000267_ref18","first-page":"305","article-title":"Neck involvement in early carcinoma of tongue. 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