Evidence map›Paper›PMID 32643077›Full record

ArticleOral and maxillofacial surgery2020

Integrated surgery and radiology: trans-oral robotic surgery guided by real-time radiologist-operated intraoral ultrasound.

Edward D Green, Vinidh Paleri, John C Hardman, Cyrus Kerawala, Francesco M G Riva, Alaa A Jaly, Derfel Ap Dafydd

Abstract read
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Article in Oral and maxillofacial surgery, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Role of Robotics in Neuromodulator and Filler Injections of Face.Indian journal of plastic surgery : official publication of the Association of Plastic Surgeons of India · 2023
    Article
  4. Towards transcervical ultrasound image guidance for transoral robotic surgery.International journal of computer assisted radiology and surgery · 2023
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Edward D GreenDepartment of Radiology, Royal Free London NHS Foundation Trust, London, UK. edward.green@nhs.net.ORCID https://orcid.org/0000-0001-5445-5228
Vinidh PaleriHead and Neck Unit, The Royal Marsden Hospitals NHS Foundation Trust, London, UK.
John C HardmanHead and Neck Unit, The Royal Marsden Hospitals NHS Foundation Trust, London, UK.
Cyrus KerawalaHead and Neck Unit, The Royal Marsden Hospitals NHS Foundation Trust, London, UK.
Francesco M G RivaHead and Neck Unit, The Royal Marsden Hospitals NHS Foundation Trust, London, UK.
Alaa A JalyDepartment of Radiology, North Middlesex University Hospital, London, UK.
Derfel Ap DafyddDepartment of Radiology, The Royal Marsden Hospitals NHS Foundation Trust, London, UK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeWe aimed to evaluate the feasibility and utility of intraoral ultrasound as a real-time guidance technique in trans-oral robotic surgery (TORS).

methodsWe report our early experiences of radiologist-operated intraoral ultrasound during TORS, providing information on tumour margin and important adjacent structures. Resection specimens were sonographically imaged for margin assessment.

resultsFour patients underwent ultrasound-guided TORS, with a close correlation between intraoperative and preoperative imaging in each case. The tumour was fully excised in three cases (one did not proceed due to difficult access). No ultrasound-related adverse events occurred, surgical margins were negative, and the treated patients are currently in a state of remission, with functional swallows.

conclusionIntraoperative ultrasound can allow previously inaccessible disease to be robotically resected with confidence. Sonographic interrogation of the resected specimen correlated closely with histological margin analysis, and a novel technique of using saline to improve ultrasound conductance and therefore image quality is described.

Indexed as

Robotic Surgical ProceduresHumansMargins of ExcisionRadiographyRadiologistsUltrasonographyHead and neck cancerIntraoral ultrasoundPatient outcomesTORSTrans-oral robotic surgery

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.