Evidence map›Paper›PMID 40785626›Full record

ArticleHead & neck2026

Oncological Impact of Surgical Margin Status After Transoral Laser Microsurgery for Early Glottic Cancer.

Sae Hatomi, Shuta Tomisato, Ken Kasahara, Hiroyuki Ozawa, Takeyuki Kono

Abstract read
In one paragraph

Article in Head & neck, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Comparison of oncological outcomes between transoral laser microsurgery and open partial laryngectomy in T2 glottic carcinoma with anterior commissure involvement.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
    Article
  2. 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

5 authors.

Sae HatomiDepartment of Otolaryngology-Head and Neck Surgery, Keio University School of Medicine, Tokyo, Japan.
Shuta TomisatoDepartment of Otolaryngology-Head and Neck Surgery, Keio University School of Medicine, Tokyo, Japan.
Ken KasaharaDepartment of Otolaryngology-Head and Neck Surgery, Keio University School of Medicine, Tokyo, Japan.ORCID 0000-0001-7120-069X
Hiroyuki OzawaDepartment of Otolaryngology-Head and Neck Surgery, Keio University School of Medicine, Tokyo, Japan.
Takeyuki KonoDepartment of Otolaryngology-Head and Neck Surgery, Keio University School of Medicine, Tokyo, Japan.ORCID 0009-0008-5792-3072

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTransoral laser microsurgery is a well-established treatment for early glottic cancer. However, managing patients with close/positive margins remains debated. This study analyzes the relationship between resection margins and oncologic outcomes.

methodsPatients with early glottic cancer who underwent transoral laser microsurgery were included. We compared clinical characteristics, recurrence-free survival, laryngeal preservation, and disease-specific survival between negative and close/positive margin groups.

resultsAmong 107 patients, 49 (45.8%) had close/positive margins. The recurrence-free survival rate was significantly lower in the close/positive margin group. Anterior commissure involvement was a significant risk factor for recurrence. The median recurrence time for the close/positive margin group was 18.5 months, similar to the negative margin group. Laryngeal preservation and disease-specific survival were similar between groups with > 95%.

conclusionsPatients with close/positive margins in early glottic cancer showed similar disease-specific survival and laryngeal preservation rates as negative margins; despite lower recurrence-free survival, suggesting a follow-up approach is sufficient.

Indexed as

Carcinoma, Squamous CellGlottisLaryngeal NeoplasmsLaser TherapyMargins of ExcisionMicrosurgeryAdultAgedAged, 80 and overDisease-Free SurvivalFemaleHumansMaleMiddle AgedNeoplasm Recurrence, LocalRetrospective Studiesglottic cancerprognosisrecurrencesurgical margintransoral laser microsurgery

Identifiers

PMID40785626
PMCPMC12703568

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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.