Evidence map›Paper›PMID 42451549›Full record

ReviewSensors (Basel, Switzerland)2026

Transoral Robotic Cleft Palate Surgery: Communication-Related Outcomes and Feasibility.

Tim Frederik Peter Ritzen, Jill Goris, Lisa E Ramaut, Darren I Booi, René R W J van der Hulst, Moustapha Hamdi, Nasser Nadjmi, Rutger M Schols

Abstract readReview
In one paragraph

Review in Sensors (Basel, Switzerland), 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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.

Tim Frederik Peter RitzenDepartment of Plastic, Reconstructive and Hand Surgery, Cleft Team, Maastricht University Medical Centre, MosaKids Children's Hospital, P. Debyelaan 25, 6229 HX Maastricht, The Netherlands.ORCID 0009-0009-1679-0119
Jill GorisDepartment of Plastic, Reconstructive and Hand Surgery, Cleft Team, Maastricht University Medical Centre, MosaKids Children's Hospital, P. Debyelaan 25, 6229 HX Maastricht, The Netherlands.
Lisa E RamautDepartment of Plastic, Reconstructive and Aesthetic Surgery, Cleft Team, University Hospital Brussels, KidzHealthCastle Children's Hospital, Brussels Health Campus, Laarbeeklaan 101, 1090 Brussels, Belgium.ORCID 0009-0008-2681-448X
Darren I BooiDepartment of Plastic, Reconstructive and Hand Surgery, Cleft Team, Maastricht University Medical Centre, MosaKids Children's Hospital, P. Debyelaan 25, 6229 HX Maastricht, The Netherlands.
René R W J van der HulstDepartment of Plastic, Reconstructive and Hand Surgery, Cleft Team, Maastricht University Medical Centre, MosaKids Children's Hospital, P. Debyelaan 25, 6229 HX Maastricht, The Netherlands.ORCID 0000-0002-3904-118X
Moustapha HamdiDepartment of Plastic, Reconstructive and Aesthetic Surgery, Cleft Team, University Hospital Brussels, KidzHealthCastle Children's Hospital, Brussels Health Campus, Laarbeeklaan 101, 1090 Brussels, Belgium.
Nasser NadjmiDepartment of Cranio-Maxillofacial Surgery, Cleft Team, Antwerp University Hospital, Drie Eikenstraat 665, 2650 Antwerp, Belgium.
Rutger M ScholsDepartment of Plastic, Reconstructive and Hand Surgery, Cleft Team, Maastricht University Medical Centre, MosaKids Children's Hospital, P. Debyelaan 25, 6229 HX Maastricht, The Netherlands.ORCID 0000-0002-3730-2075

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Treatment of cleft lip alveolus and/or palate includes surgical repair to treat communication-related outcomes such as velopharyngeal insufficiency and otological dysfunction. Robot-assisted surgery has recently evolved into a promising adjunct to conventional surgery, particularly for complex procedures such as transoral (reconstructive) surgery. This structured literature review aims to investigate whether robot-assisted transoral cleft palate repair enhances communication (i.e., speech and otological) outcomes compared to conventional manual cleft palate surgery. A literature search was performed using PubMed, Embase, the Cochrane Library and Google Scholar. Primary outcomes were the change in cleft speech characteristics and otological disease after robot-assisted cleft palate surgery versus manual cleft palate surgery. The available evidence on communication-related outcomes remains sparse. Six relevant articles were included. In only one study, transoral robotic cleft surgery (TORCS) significantly reduced otitis media with effusion (OME), need for ventilation tubes and hearing threshold within 2 years post-surgery. No postoperative speech or velopharyngeal outcomes were reported. In conclusion, transoral robotic cleft surgery (TORCS) appears safe and feasible for repair of a cleft palate. It provides superior intraoral view and improved surgeon ergonomics. Current drawbacks are the costs and the available tools, the extended surgical duration and the lack of haptic feedback, which limit the current clinical applicability of TORCS. Based on limited clinical evidence, TORCS may support faster recovery of Eustachian tube function and hearing, but no conclusions on speech outcomes can yet be drawn.

Indexed as

Cleft PalateRobotic Surgical ProceduresHumansPlastic Surgery ProceduresTreatment Outcomecleft palate repaircommunicationrobot-assisted surgerystructured literature reviewtransoral robotic cleft surgery (TORCS)

Identifiers

PMID42451549
PMCPMC13364295

What OpenQuestion holds

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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.