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1% vs 34.1%, P 0.001). Propensity score matching produced 51 matched pairs, and the 3-year OS was still better in the NSM(+) compared with the NSM(-) group (66.7% vs 40.0%, P = 0.025). Multivariable Cox analysis confirmed NSM(+) as an independent factor favouring OS in patients with MT-OSCC. NSM usually occurs at pN1 stage in patients with MT-OSCC, and is associated with a favourable prognosis. NSM usually occurs at pN1 stage in patients with MT-OSCC, and is associated with a favourable prognosis.Epidemiological studies have reporte