Evidence map›Paper›PMID 39327800›Full record

ArticleHead & neck2025

Bending the rules: A novel approach to laryngeal surgery in a body donor study.

Linus L Kienle, Leon R Schild, Felix Boehm, Viola D Hahn, Jens Greve, Adrian von Witzleben, Thomas K Hoffmann, Patrick J Schuler

Abstract read
In one paragraph

Article in Head & neck, 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. 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

8 authors.

Linus L KienleDepartment of Otorhinolaryngology - Head and Neck Surgery, Ulm University Medical Center, Ulm, Germany.ORCID 0009-0008-3768-7797
Leon R SchildDepartment of Otorhinolaryngology - Head and Neck Surgery, Ulm University Medical Center, Ulm, Germany.
Felix BoehmDepartment of Otorhinolaryngology - Head and Neck Surgery, Ulm University Medical Center, Ulm, Germany.
Viola D HahnDepartment of Otorhinolaryngology - Head and Neck Surgery, Ulm University Medical Center, Ulm, Germany.
Jens GreveDepartment of Otorhinolaryngology - Head and Neck Surgery, Ulm University Medical Center, Ulm, Germany.
Adrian von WitzlebenDepartment of Otorhinolaryngology - Head and Neck Surgery, Ulm University Medical Center, Ulm, Germany.
Thomas K HoffmannDepartment of Otorhinolaryngology - Head and Neck Surgery, Ulm University Medical Center, Ulm, Germany.
Patrick J SchulerDepartment of Oto-Rhino-Laryngology, University Hospital Heidelberg, Heidelberg, Germany.

Funding

Deutsche Forschungsgemeinschaft 491516763
6 · The paper itself

Abstract

backgroundTransoral laser microsurgery, the standard surgical approach for early-stage laryngeal cancer, necessitates an unobstructed line of sight to the operating field. However, achieving adequate laryngeal exposure can be challenging, potentially compromising treatment outcomes.

methodsWe developed a 3D-printed curved laryngoscope (sMAC), designed to match the upper airway anatomy. In a user study (n = 15) with a human body donor we compared the sMAC system to conventional microlaryngoscopy regarding laryngeal exposure and accessibility in a difficult exposure scenario.

resultsAll 15 participants achieved complete glottic exposure and successfully manipulated laryngeal landmarks using the sMAC system. Only four participants achieved partial exposure using microlaryngoscopy. Positioning of the sMAC system was significantly faster (p = 0.023). A vocal cord resection was conducted successfully (n = 2) using the sMAC system.

conclusionThe sMAC system effectively addresses challenges associated with transoral laryngeal surgery. Ongoing development aims to overcome current limitations of the system and prepare first clinical trials.

Indexed as

LaryngoscopyEquipment DesignFemaleHumansLaryngeal NeoplasmsLaryngoscopesLarynxLaser TherapyMaleMicrosurgeryMiddle AgedPrinting, Three-Dimensional3D‐printingdifficult laryngeal exposurelaryngeal cancerlaryngeal surgerytransoral surgery

Identifiers

PMID39327800
PMCPMC11717936

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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.