Evidence map›Paper›PMID 34564016›Full record

ArticleOral oncology2021

The utility of intra-oral ultrasound in improving deep margin clearance of oral tongue cancer resections.

Mustafa G Bulbul, Osama Tarabichi, Anuraag S Parikh, Byung C Yoon, Amy Juliano, Peter M Sadow, William Faquin, Matthew Gropler, Ronald Walker, Sidharth V Puram and 1 more

Open access · greenAbstract read
In one paragraph

Article in Oral oncology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed
5.6field-weighted citation impact, top 3% of its field
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

17 citing papers in PubMed, 34 citations in OpenAlex.

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  3. Comparison of intraoral ultrasound, computed tomography and histopathology in assessment of depth of invasion in buccal mucosa cancers - a cross-sectional study.European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery · 2026
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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

11 authors at 9 institutions in 1 country.

Mustafa G BulbulDepartment of Otolaryngology - Head and Neck Surgery, West Virginia University School of Medicine, Morgantown, WV, USA.
Osama TarabichiDepartment of Otolaryngology - Head and Neck Surgery, University of Iowa, Iowa City, IA, USA.
Anuraag S ParikhDepartment of Otolaryngology, Head and Neck Surgery, The Ohio State University, Columbus, OH, USA.
Byung C YoonDepartment of Radiology, Massachusetts General Hospital, Harvard Medical School, Boston, MA, USA.
Amy JulianoDepartment of Radiology, Massachusetts Eye and Ear Infirmary, Harvard Medical School, Boston, MA, USA.
Peter M SadowDepartment of Pathology, Massachusetts General Hospital, Harvard Medical School, Boston, MA, USA.
William FaquinDepartment of Pathology, Massachusetts General Hospital, Harvard Medical School, Boston, MA, USA.
Matthew GroplerDepartment of Otolaryngology - Head and Neck Surgery, University of Colorado School of Medicine, Denver, CO, USA.
Ronald WalkerDivision of Otolaryngology - Head and Neck Surgery, Department of Surgery, Yale School of Medicine, New Haven, CT, USA.
Sidharth V PuramDepartment of Otolaryngology - Head and Neck Surgery and Department of Genetics, Washington University School of Medicine, St. Louis, MO, USA. Electronic address: sidpuram@wustl.edu.
Mark A VarvaresDepartment of Otolaryngology-Head and Neck Surgery, Massachusetts Eye and Ear, Harvard Medical School, Boston, MA, USA. Electronic address: mark_varvares@meei.harvard.edu.
Harvard University · USMassachusetts Eye and Ear Infirmary · USMassachusetts General Hospital · USThe Ohio State University · USUniversity of Colorado Denver · USUniversity of Iowa · USWashington University in St. Louis · USWest Virginia University · USYale University · US

Funding

Strategies to Overcome Immune Resistance in Head and Neck CancersP01CA240239 · NCI · YALE UNIVERSITY · PI MEMPEL, THORSTEN ROMAN · 2019 to 2023
$8.4M
NCI NIH HHS P01 CA240239
6 · The paper itself

Abstract

objectivesTo investigate the potential utility of intra-oral ultrasound (IOUS) in guiding deep margin clearance and measuring depth of invasion (DOI) of oral tongue carcinomas (OTC). MATERIALS AND

methodsRetrospective chart review of consecutive patients with T1-T3 OTC who underwent intraoperative ultrasound-guided resection and a comparator group that had undergone resection without the use of IOUS both by a single surgeon. Data was extracted from operative, pathology and radiology reports. Deep margins and DOI were reviewed by a dedicated head and neck pathologist. Correlation between histologic and ultrasound DOI was assessed using Pearson correlation.

resultsA total of 23 patients were included in the study cohort with a comparator group of 21 patients in the control group. None of the patients in the study cohort had a positive (cut-through) deep margin and the mean deep margin clearance was 8.5 ± 4.9 and 6.7 ± 3.8 for the IOUS and non-IOUS groups respectively (p-value 0.18) showing a non-significant improvement in the IOUS group. As a secondary outcome, there was a strong correlation between histologic and ultrasound DOI (0.9449).

conclusionUltrasound appears to be a potentially effective tool in guiding OTC resections. In this small series, IOUS facilitated deep margin clearance and resulted in a non-statistically significant increase in deep margin clearance. Intraoral ultrasound can accurately measure lesional DOI.

Indexed as

Margins of ExcisionTongue NeoplasmsUltrasonographyGlossectomyHumansRetrospective StudiesTongueDeep marginDepth of invasionIntraoperative ultrasoundIntra-oral ultrasoundOral tongue cancerOral tongue squamous cell carcinomaUltrasound

Identifiers

PMID34564016
PMCPMC9375962
OpenAlexW3202473234

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

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.