Evidence map›Paper›PMID 39227414›Full record

ArticleEuropean 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 Surgery2025

Role of midline raphe in compartmental surgery for squamous cell carcinoma of the tongue.

Grammatica Alberto, Ravanelli Marco, Tomasoni Michele, Conti Carlo, Pinacoli Aurora, Bozzola Anna, Farina Davide, Mattavelli Davide, Piazza Cesare

Abstract read
In one paragraph

Article in 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. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–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

1 citing paper in PubMed.

  1. Review
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

9 authors.

Grammatica AlbertoUnit of Otorhinolaryngology - Head and Neck Surgery, ASST Spedali Civili di Brescia, Piazza Spedali Civili 1, 25123, Brescia, Italy.
Ravanelli MarcoUnit of Radiology, ASST Spedali Civili di Brescia, Brescia, Italy.
Tomasoni MicheleUnit of Otorhinolaryngology - Head and Neck Surgery, ASST Spedali Civili di Brescia, Piazza Spedali Civili 1, 25123, Brescia, Italy.
Conti CarloUnit of Otorhinolaryngology - Head and Neck Surgery, ASST Spedali Civili di Brescia, Piazza Spedali Civili 1, 25123, Brescia, Italy. carlo.conti.it@gmail.com.ORCID http://orcid.org/0009-0005-5933-2936
Pinacoli AuroraUnit of Otorhinolaryngology - Head and Neck Surgery, ASST Spedali Civili di Brescia, Piazza Spedali Civili 1, 25123, Brescia, Italy.
Bozzola AnnaUnit of Pathology, ASST Spedali Civili di Brescia, Brescia, Italy.
Farina DavideUnit of Radiology, ASST Spedali Civili di Brescia, Brescia, Italy.
Mattavelli DavideUnit of Otorhinolaryngology - Head and Neck Surgery, ASST Spedali Civili di Brescia, Piazza Spedali Civili 1, 25123, Brescia, Italy.
Piazza CesareUnit of Otorhinolaryngology - Head and Neck Surgery, ASST Spedali Civili di Brescia, Piazza Spedali Civili 1, 25123, Brescia, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeIn the present study, we investigated how tumor distance from midline (TDFM) and depth of invasion (DOI) may affect survival outcomes after compartmental tongue surgery (CTS) for oral tongue squamous cell carcinoma (OTSCC).

methodsA retrospective series of cT2-T3 OTSCC treated with upfront CTS at our Department from 2010 to 2021 was evaluated. Radiological and pathological DOI and TDFM were correlated. The main outcomes were overall (OS) and loco-regional recurrence free survival (LRRFS). The linear relationship between DOI and TDFM with 2-year OS and LRRFS was tested. Survival estimates were obtained by the Kaplan-Meier method. Univariate analysis was performed for variables of interest, and results expressed in terms of hazard ratios and 95% confidence intervals.

resultsA total of 64 patients underwent CTS and neck dissection. No significant difference was found between pathological (pDOI) and radiological DOI (rDOI) (p = 0.321) or between pathological (pTDFM) and radiological TDFM (p = 0.435). Two- and 5-year OS and LRRFS were 85.7% and 70.4%, 84.3% and 76.1%, respectively. A linear and significant relationship with OS (p = 0.020) and LRRFS (p = 0.013) was found for pDOI; although linear, the relationship between pTDFM was not statistically significant for either survival outcomes. Once categorized, the ideal cut-off for pDOI according to OS was set at 10 mm (p = 0.023).

conclusionIn patients undergoing CTS for primary OTSCC, magnetic resonance-derived rDOI represents an accurate estimate of pDOI, In contrast, TDFM was not associated with OS suggesting that the median raphe is a safe deep margin for CTS. PROTOCOL N: BS/231,009 retrospectively registered.

Indexed as

Carcinoma, Squamous CellSquamous Cell Carcinoma of Head and NeckTongueTongue NeoplasmsAdultAgedFemaleHumansMaleMiddle AgedNeck DissectionNeoplasm InvasivenessRetrospective StudiesSurvival RateCompartmental surgeryDepth of infiltrationMidline rapheOral cancerTongue cancer

Identifiers

PMID39227414
PMCPMC11735577

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LicenceCC BY
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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.