{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,20]],"date-time":"2026-05-20T14:58:48Z","timestamp":1779289128913,"version":"3.51.4"},"reference-count":23,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2025,7,15]],"date-time":"2025-07-15T00:00:00Z","timestamp":1752537600000},"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":["Clinical Otolaryngology"],"published-print":{"date-parts":[[2025,11]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Aims<\/jats:title>\n                    <jats:p>To determine in patients with clinical and radiological N0 necks in primary parotid carcinoma: (1) Rate of occult node positivity post\u2010neck dissection. (2) Outcomes following elective neck dissection\u2009\u00b1\u2009radiotherapy. (3) Factors predicting recurrence and mortality following treatment.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A retrospective study on patients diagnosed with malignant neoplasm of the parotid between January 2007 and December 2018 from three UK tertiary centres.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>One hundred and thirty\u2010four patients were identified. 6% (4\/62) of patients who underwent neck dissection for radiologically N0 neck had positive lymph nodes. There was no statistically significant feature associated with recurrence and disease\u2010related mortality, but recurrence was associated with an increased risk of mortality (HR 1.444).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>This study has demonstrated a low rate of occult nodal disease in N0 parotid malignancy and suggests that high\u2010grade disease has a higher risk of nodal disease and recurrence. These patients may benefit from elective neck treatment, but more prospective data is required.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/coa.70000","type":"journal-article","created":{"date-parts":[[2025,7,16]],"date-time":"2025-07-16T02:05:00Z","timestamp":1752631500000},"page":"1011-1017","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Outcomes of\n                    <scp>N0<\/scp>\n                    Necks in Primary Parotid Carcinoma: A Multi\u2010Institution Study Over Ten Years"],"prefix":"10.1111","volume":"50","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8580-7692","authenticated-orcid":false,"given":"Harriet","family":"Cunniffe","sequence":"first","affiliation":[{"name":"Cambridge University Hospital NHS Foundation Trust  Cambridge 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