{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,10]],"date-time":"2025-10-10T12:16:27Z","timestamp":1760098587202},"reference-count":11,"publisher":"Cambridge University Press (CUP)","issue":"5","license":[{"start":{"date-parts":[[2016,4,20]],"date-time":"2016-04-20T00:00:00Z","timestamp":1461110400000},"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":[[2016,5]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec id=\"S0022215116000931_sec_a1\"><jats:title>Objective:<\/jats:title><jats:p>The present study was conducted to determine the rate of level IV lymph node involvement among node-negative (N<jats:sub>0<\/jats:sub>) necks in patients with squamous cell carcinoma of the tongue.<\/jats:p><\/jats:sec><jats:sec id=\"S0022215116000931_sec_a2\"><jats:title>Methods:<\/jats:title><jats:p>The study comprised 32 patients with squamous cell carcinoma of the tongue, with tumour\u2013node\u2013metastasis staging of T<jats:sub>1\u20133<\/jats:sub>N<jats:sub>0<\/jats:sub>M<jats:sub>0<\/jats:sub>, who were admitted to the Otolaryngology Department at Tehran University of Medical Sciences from March 2012 to March 2014. After a complete diagnostic evaluation, wide primary tumour excision (with 1.5\u20132\u00a0cm margins) and extended supraomohyoid neck dissection (levels I\u2013IV) were accomplished.<\/jats:p><\/jats:sec><jats:sec id=\"S0022215116000931_sec_a3\"><jats:title>Results:<\/jats:title><jats:p>Occult metastasis was found in 28 per cent of the patients. Level I, II and III metastases were the most common (18.75, 18.75 and 15.62 per cent, respectively). Level IV metastasis was found in 6.25 per cent of patients.<\/jats:p><\/jats:sec><jats:sec id=\"S0022215116000931_sec_a4\"><jats:title>Conclusion:<\/jats:title><jats:p>Supraomohyoid neck dissection appears to be an appropriate treatment for N<jats:sub>0<\/jats:sub> tongue squamous cell carcinoma and there is no need for level IV lymph node dissection in a N<jats:sub>0<\/jats:sub> patient.<\/jats:p><\/jats:sec>","DOI":"10.1017\/s0022215116000931","type":"journal-article","created":{"date-parts":[[2016,4,20]],"date-time":"2016-04-20T08:55:27Z","timestamp":1461142527000},"page":"474-477","source":"Crossref","is-referenced-by-count":6,"title":["Occult level IV metastases in clinically node-negative patients with oral tongue squamous cell carcinoma"],"prefix":"10.1017","volume":"130","author":[{"given":"M","family":"Motiee-Langroudi","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"A","family":"Amali","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"B","family":"Saedi","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"H","family":"Emami","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"F","family":"Ensani","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"A","family":"Lotfi","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"M","family":"Rabbani Anari","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"56","published-online":{"date-parts":[[2016,4,20]]},"reference":[{"key":"S0022215116000931_ref10","doi-asserted-by":"publisher","DOI":"10.1016\/j.joms.2013.12.008"},{"key":"S0022215116000931_ref9","doi-asserted-by":"publisher","DOI":"10.1002\/hed.10282"},{"key":"S0022215116000931_ref6","doi-asserted-by":"publisher","DOI":"10.1097\/00005537-200106000-00029"},{"key":"S0022215116000931_ref8","doi-asserted-by":"publisher","DOI":"10.1054\/bjom.1999.0035"},{"key":"S0022215116000931_ref5","doi-asserted-by":"publisher","DOI":"10.1017\/S0022215114000267"},{"key":"S0022215116000931_ref1","doi-asserted-by":"publisher","DOI":"10.1007\/s00405-009-1155-9"},{"key":"S0022215116000931_ref11","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcms.2014.07.007"},{"key":"S0022215116000931_ref2","first-page":"1293","volume-title":"Cummings Otolaryngology: Head and Neck Surgery","author":"Flint","year":"2010"},{"key":"S0022215116000931_ref3","first-page":"305","article-title":"Neck involvement in early carcinoma of tongue. Is elective neck dissection warranted?","volume":"57","author":"Akhtar","year":"2007","journal-title":"J Pak Med Assoc"},{"key":"S0022215116000931_ref4","doi-asserted-by":"publisher","DOI":"10.1002\/(SICI)1097-0347(199701)19:1<14::AID-HED3>3.0.CO;2-Y"},{"key":"S0022215116000931_ref7","doi-asserted-by":"publisher","DOI":"10.1186\/1477-7819-1-10"}],"container-title":["The Journal of Laryngology &amp; Otology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.cambridge.org\/core\/services\/aop-cambridge-core\/content\/view\/S0022215116000931","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2019,4,19]],"date-time":"2019-04-19T19:19:32Z","timestamp":1555701572000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cambridge.org\/core\/product\/identifier\/S0022215116000931\/type\/journal_article"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2016,4,20]]},"references-count":11,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2016,5]]}},"alternative-id":["S0022215116000931"],"URL":"https:\/\/doi.org\/10.1017\/s0022215116000931","relation":{},"ISSN":["0022-2151","1748-5460"],"issn-type":[{"value":"0022-2151","type":"print"},{"value":"1748-5460","type":"electronic"}],"subject":[],"published":{"date-parts":[[2016,4,20]]}}}