Evidence map›Paper›PMID 35938555›Full record

ReviewActa otorhinolaryngologica Italica : organo ufficiale della Societa italiana di otorinolaringologia e chirurgia cervico-facciale2022

Upfront transoral robotic surgery (TORS)

Stefano Filippo Zorzi, Giovanni Agostini, Francesco Chu, Marta Tagliabue, Giacomo Pietrobon, Giulia Corrao, Stefania Volpe, Giulia Marvaso, Francesca Colombo, Maria Cossu Rocca and 5 more

Open access · goldAbstract readReview
In one paragraph

Review in Acta otorhinolaryngologica Italica : organo ufficiale della Societa italiana di otorinolaringologia e chirurgia cervico-facciale, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
1.2field-weighted citation impact, top 21% 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

4 citing papers in PubMed, 8 citations in OpenAlex.

  1. Does Smoking Influence Outcomes in Human Papillomavirus-Associated Oropharyngeal Cancer Treated with Transoral Robotic Surgery?Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery · 2026
    Article
  2. Review
  3. Exploratory assessment of an endolaryngeal surgical model with a novel hyperangulated 3D printed laryngoscope.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 · 2025
    Article
  4. 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

15 authors at 4 institutions in 1 country.

Stefano Filippo ZorziDepartment of Otolaryngology and Head and Neck Surgery, IEO European Institute of Oncology IRCCS, Milan, Italy.
Giovanni AgostiniSection of Otolaryngology-Head and Neck Surgery, Department of Surgical and Biomedical Sciences, University of Perugia, Perugia, Italy.
Francesco ChuDepartment of Otolaryngology and Head and Neck Surgery, IEO European Institute of Oncology IRCCS, Milan, Italy.
Marta TagliabueDepartment of Otolaryngology and Head and Neck Surgery, IEO European Institute of Oncology IRCCS, Milan, Italy.
Giacomo PietrobonDepartment of Otolaryngology and Head and Neck Surgery, IEO European Institute of Oncology IRCCS, Milan, Italy.
Giulia CorraoDepartment of Radiotherapy and Adrotherapy, IEO European Institute of Oncology IRCCS, Milan, Italy.
Stefania VolpeDepartment of Radiotherapy and Adrotherapy, IEO European Institute of Oncology IRCCS, Milan, Italy.
Giulia MarvasoDepartment of Radiotherapy and Adrotherapy, IEO European Institute of Oncology IRCCS, Milan, Italy.
Francesca ColomboDepartment of Oncology and Hemato-Oncology, University of Milan, Milan, Italy.
Maria Cossu RoccaDepartment of Medical Oncology, Urogenital and Head and Neck Tumors Medical Treatment, IEO European Institute of Oncology IRCCS, Milan, Italy.
Sara GandiniDepartment of Experimental Oncology, IEO European Institute of Oncology IRCCS, Milan, Italy.
Aurora GaetaDepartment of Experimental Oncology, IEO European Institute of Oncology IRCCS, Milan, Italy.
Francesca RujuDepartment of Radiology, IEO European Institute of Oncology IRCCS, Milan, Italy.
Daniela Alterio *Department of Radiotherapy and Adrotherapy, IEO European Institute of Oncology IRCCS, Milan, Italy.
Mohssen Ansarin *Department of Otolaryngology and Head and Neck Surgery, IEO European Institute of Oncology IRCCS, Milan, Italy.
European Institute of Oncology · ITIstituti di Ricovero e Cura a Carattere Scientifico · ITUniversity of Milan · ITUniversity of Perugia · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective: This study aims to provide real-world data on oncologic and functional outcomes of the most modern surgical and non-surgical treatments of locally advanced HPV-positive oropharyngeal cancer. Methods: We reviewed data on patients treated for stage III and IV HPV-positive oropharyngeal squamous cell carcinoma with either endoscopic surgery (Transoral Robotic Surgery, TORS; Transoral Laser Microsurgery, TLM - group A) or intensity-modulated radiotherapy (IMRT - group B). The minimum follow-up required was 6 months. Survival outcomes and toxicities of treatments were evaluated. Results: 30 patients in group A and 66 in group B were eligible for the analysis. 28% of patients in group A underwent a unimodal treatment, while 42% needed trimodal treatment. 90% of patients in group B underwent concurrent chemoradiation. We found no statistically significant difference in survival outcomes (group A: overall survival 97%, progression-free survival 83%; group B: OS 98%, PFS 86%) or toxicities between groups. Conclusions: Both transoral surgery and IMRT provide excellent outcomes in HPV-positive oropharyngeal cancer. Because of the good prognosis, treatments need to be refined to reduce toxicities while preserving oncologic soundness.

Indexed as

Carcinoma, Squamous CellHead and Neck NeoplasmsOropharyngeal NeoplasmsPapillomavirus InfectionsRadiotherapy, Intensity-ModulatedRobotic Surgical ProceduresHumansRetrospective StudiesHPVintensity-modulated radiotherapy (IMRT)minimally invasive surgeryoropharyngeal cancertransoral robotic surgery (TORS)

Identifiers

PMID35938555
PMCPMC9577690
OpenAlexW4290630242

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.