Evidence map›Paper›PMID 40234274›Full record

ArticleJournal of robotic surgery2025

Transoral robotic surgery for salivary carcinomas of the base of tongue: a multicenter REFCOR study.

Valentine Poissonnet, Emilien Chabrillac, Bertille Segier, Philippe Gorphe, Stéphanie Wong, Renaud Garrel, Christophe Ferron, Rachid Kaci, Erwan de Monès, Franck Jegoux and 21 more

Abstract readMulticenter Study
PubMed Publisher
In one paragraph

Article in Journal of robotic surgery, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper, 1 of them a synthesis that pooled it.

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

1 citing paper in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

31 authors.

Valentine PoissonnetOtolaryngology, Head and Neck Surgery Department, University Cancer Institute Toulouse and Toulouse University Hospital, Larrey Hospital, 24 Chemin de Pouvourville, 31059, Cedex 9, Toulouse, France. valentine.poissonnet@gmail.com.
Emilien ChabrillacOtolaryngology, Head and Neck Surgery Department, University Cancer Institute Toulouse and Toulouse University Hospital, Larrey Hospital, 24 Chemin de Pouvourville, 31059, Cedex 9, Toulouse, France.
Bertille SegierStatistical Department, Institut Claudius Régaud, University Institute of Cancer, 1 Avenue Irène Joliot-Curie, 31100, Toulouse, France.
Philippe GorpheHead and Neck Oncology Department, Gustave-Roussy Institute, 114 Rue Edouard Vaillant, 94800, Villejuif, France.
Stéphanie WongDepartment of Radiation Therapy, AP-HM, Aix-Marseille University, 264 Rue Saint Pierre, 13385, Marseille, France.
Renaud GarrelOtolaryngology, Head and Neck Surgery Department, University Hospital of Montpellier, 191 Avenue du Doyen Gaston Giraud, 34295, Montpellier, France.
Christophe FerronOtolaryngology, Head and Neck Surgery Department, University Hospital of Nantes, 5 Allée de l'Ile Gloriette, 44000, Nantes, France.
Rachid KaciPathology Department, AP-HP, Hôpital Lariboisière, 2 Rue Ambroise Paré, 75010, Paris, France.
Erwan de MonèsDepartment of Otorhinolaryngology and Head and Neck Surgery, Bordeaux University Hospital-CHU, F-33000 Bordeaux, Place Amélie Raba Léon, 33000, Bordeaux, France.
Franck JegouxOtolaryngology, Head and Neck Surgery Department, University Hospital of Rennes, 2 Rue Henri le Guilloux 35000, Rennes, France.
Philippe SchultzOtolaryngology, Head and Neck Surgery Department, University Hospital of Strasbourg, 1 Place de l'Hôpital, 67000, Strasbourg, France.
Dorian CuliéOtolaryngology, Head and Neck Surgery Department, Head and Neck University Institute, 31 Avenue de Valombrose, 06100, Nice, France.
Robin BaudouinOtolaryngology, Head and Neck Surgery Department, Foch Hospital, 40 Rue Worth, 92150, Suresnes, France.
Diane EvrardOtolaryngology, Head and Neck Surgery Department, Bichat Hospital, 46 Rue Henri Huchard, 75018, Paris, France.
Maxime GoffinetHead and Neck Surgery Department, CHU Sart Tilman, University Liege, 1 Avenue de l'Hôpital, 4000, Luik, Belgium.
Sylvain MorinièreOtolaryngology, Head and Neck Surgery Department, University Hospital of Tours, 2 Boulevard Tonnellé, 37000, Tours, France.
Haitham MirghaniOtolaryngology, Head and Neck Surgery Department, George Pompidou European Hospital, 20 Rue Leblanc, 75015, Paris, France.
Christian RighiniOtolaryngology, Head and Neck Surgery Department, University Hospital of Grenoble, Avenue des Maquis du Grésivaudan, 38700, La Tronche, France.
Suzy DufloOtolaryngology, Head and Neck Surgery Department, University Hospital of Point-à-Pitre, Route de Chauvel, Les Abymes, 97142, Guadeloupe, France.
Jean Paul MarieOtolaryngology, Head and Neck Surgery Department, University Hospital of Rouen, 37 Boulevard Gambetta, 76000, Rouen, France.
Bruno GuelfucciOtolaryngology, Head and Neck Surgery Department, Hospital of Toulon, 54 Rue Henri Sainte-Claire Deville, 83100, Toulon, France.
Sarah AtallahHead and Neck Surgery Department, Tenon Hospital, APHP, Sorbonne University, 4 Rue de la Chine, 75020, Paris, France.
Esteban BrenetOtolaryngology, Head and Neck Surgery Department, University Hospital of Reims, Rue du Général Koenig, 51100, Reims, France.
Chloé BertolusDepartment of Oral and Maxillo-Facial Surgery, Pitié-Salpêtrière Hospital, APHP, Sorbonne Université, 47-83 Boulevard de l'Hôpital, 75013, Paris, France.
Philippe CeruseOtolaryngology, Head and Neck Surgery Department, University Hospital of Lyon, 165 Chemin du Grand Revoyet, 69310, Pierre-Benite, France.
Karine AubryOtolaryngology, Head and Neck Surgery Department, University Hospital of Limoges, 2 Avenue Martin Luther King, 87000, Limoges, France.
Xavier DufourOtolaryngology, Head and Neck Surgery Department, University Hospital of Poitiers, 2 Rue de la Milétrie, 86000, Poitiers, France.
Patrice GalletOtolaryngology, Head and Neck Surgery Department, University Hospital of Nancy, 20 Avenue du Maréchal de Lattre de Tassigny, 54000, Nancy, France.
Vianney BastitOtolaryngology, Head and Neck Surgery Department, University Hospital of Caen, Avenue de la Côte de Nacre CS 30001, 14000, Caen, France.
Emmanuelle Uro-CosteDepartment of Anatomical Pathology, University Cancer Institute Toulouse, 1 avenue Irène Joliot-Curie, 31100, Toulouse, France.
Sébastien VergezOtolaryngology, Head and Neck Surgery Department, University Cancer Institute Toulouse and Toulouse University Hospital, Larrey Hospital, 24 Chemin de Pouvourville, 31059, Cedex 9, Toulouse, France.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Transoral robotic surgery (TORS) allows minimally invasive surgical access to the oropharynx. Its benefits are well documented for squamous cell carcinomas, but not for salivary carcinomas. The aim of this study was to describe the French experience of TORS regarding salivary gland carcinomas of the base of tongue (BOT). This was a retrospective multicentric study with a national cohort. We included all patients treated surgically for a BOT salivary gland carcinoma from January 2009 to December 2018. Descriptive analyses were performed. Among the 50 patients included, radical excision was performed through an open approach (OA; n = 33) or using TORS (n = 17). T1-T2 tumors were more common in the TORS-group (76.4% vs 60.6%), and so were low-grade tumors (58.8% vs 38.7%). Surgical margins were <1mm in 46.7% of patients in the TORS-group and 52% of patients in the OA-group. After 51.7 months of follow-up, two patients (11.8%) presented with a local recurrence in the TORS-group, versus eight patients (24.2%) in the OA-group. The rate of tracheostomy was 41.2% in the TORS-group and 63.6% in the OA-group. The rate of gastrostomy was 11.8% in the TORS-group and 36.4% in the OA-group. TORS is an acceptable minimally invasive option for selected BOT salivary carcinomas. It may provide good functional and oncological outcomes in selected cases, despite a high rate of close margins.

Indexed as

Robotic Surgical ProceduresSalivary Gland NeoplasmsTongue NeoplasmsAdultAgedAged, 80 and overFemaleFranceHumansMaleMargins of ExcisionMiddle AgedRetrospective StudiesTreatment OutcomeCarcinomaGlossectomySalivary gland neoplasmsTongueTransoral robotic surgery

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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.