The aims of this monocentric study were a retrospective research of malignancy of the maxilla during the last 40 years at the Department of Oral and Maxillofacial Surgery, University Halle and a positioning of new procedures related to the management of clinicalnegative node neck. Statistical analysis were made on the basis of squamous cell carcinomas data (n=122), who were in majority.The connection of patients´ survival and cervical lymph node metastasis, tumor stage, time of treatment and kind of therapy showed a significant statistical influence. Overall five-yearrelative survival for squamous cell carcinoma of the maxilla was 65%. Another main focus of attention was the relevant need of a selective neck dissection related to the management of clinical negative node neck.In contrast to recent literature with 20%, our probability of occult metastasis showed only 13, 2%. The results of this present study are: survival of squamous cell carcinomas of the maxilla seems to be prognostic better than carcinoma of the whole oral cavity; surgery is at this stage best kind of therapy. Based on our results, we don´t recommend a principle selective neck dissection.