{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,16]],"date-time":"2025-12-16T12:43:03Z","timestamp":1765888983126,"version":"3.40.5"},"reference-count":16,"publisher":"Wiley","issue":"12","license":[{"start":{"date-parts":[[2022,10,5]],"date-time":"2022-10-05T00:00:00Z","timestamp":1664928000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["ANZ Journal of Surgery"],"published-print":{"date-parts":[[2022,12]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>The extent of neck dissection for tongue SCC is unclear owing to the potential presence of occult level IV metastasis. We aim to assess the incidence of occult level IV nodal metastasis for tongue SCC patients treated in our centre over a 20\u2009year period.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A retrospective analysis of data collected from 1999 to 2019 was performed. Patients diagnosed with oral tongue SCC treated primarily with surgery and a neck dissection fulfilled the inclusion criteria.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>A total of 124 patients were included in our study. Sixty\u2010one patients were N0 with no occult level IV metastasis. About 17.3% of clinically node positive patients had level IV metastasis. Length of hospital stay and complication rates were comparable for patients who received levels I\u2013III and I\u2013IV neck dissections.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Occult level IV metastasis in N0 tongue SCC patients are exceedingly rare, we would therefore suggest consideration for a level I\u2013III neck dissection. In patients who are clinically node positive, a level I\u2013IV neck dissection would be recommended.<\/jats:p><\/jats:sec>","DOI":"10.1111\/ans.18090","type":"journal-article","created":{"date-parts":[[2022,10,5]],"date-time":"2022-10-05T13:58:51Z","timestamp":1664978331000},"page":"3259-3263","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["The incidence of occult level <scp>IV<\/scp> nodal metastasis in tongue squamous cell carcinoma: a 20\u2009year review"],"prefix":"10.1111","volume":"92","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9386-9658","authenticated-orcid":false,"given":"Johnny","family":"Wu","sequence":"first","affiliation":[{"name":"Department of Otolaryngology, Head and Neck Surgery Waikato Hospital  Hamilton New Zealand"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Leon","family":"Kong","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology, Head and Neck Surgery Waikato Hospital  Hamilton New Zealand"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Xavier","family":"Field","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology, Head and Neck Surgery Waikato Hospital  Hamilton New Zealand"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Abdul\u2010Kader","family":"Ebrahim","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology, Head and Neck Surgery Waikato Hospital  Hamilton New Zealand"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2022,10,5]]},"reference":[{"key":"e_1_2_8_2_1","first-page":"645","article-title":"Global incidence and risk factors of oral cancer","volume":"156","author":"Ghantous Y","year":"2017","journal-title":"Harefuah"},{"key":"e_1_2_8_3_1","first-page":"178","article-title":"The prevalence of squamous cell carcinoma in different sites of oral cavity at our rural health care centre in Loni, Maharashtra\u2014a retrospective 10\u2010year study","volume":"21","author":"Tandon P","year":"2017","journal-title":"Contemp. 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