{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,13]],"date-time":"2026-09-13T20:32:48Z","timestamp":1789331568142,"version":"build-2803163510"},"reference-count":17,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2014,8,5]],"date-time":"2014-08-05T00:00:00Z","timestamp":1407196800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["The Laryngoscope"],"published-print":{"date-parts":[[2015,1]]},"abstract":"<jats:sec><jats:title>Objectives\/Hypothesis<\/jats:title><jats:p>To compare the clinical and cost outcomes of transoral robotic surgery (TORS) versus open procedures following the U.S. Food and Drug Administration approval in December 2009.<\/jats:p><\/jats:sec><jats:sec><jats:title>Study Design<\/jats:title><jats:p>Retrospective analysis of the Nationwide Inpatient Sample from 2008 to 2011.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Elective partial pharyngectomies and partial glossectomies for neoplasm were identified by International Classification of Diseases, 9th Revision, Clinical Modification code.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>TORS represented 2.1% in 2010 and 2.2% in 2011 of all transoral ablative procedures. Patients undergoing open partial pharyngectomy for oropharyngeal neoplasms (n\u2009=\u20091426) had more severe illness compared to TORS (n\u2009=\u2009641). However, after controlling for minor\u2010to\u2010moderate severity of illness, open partial pharyngectomy was associated with longer hospital stay (5.2 vs. 3.7 days, <jats:italic>P<\/jats:italic>\u2009&lt;\u20090.001), higher charge ($98,228 vs. $67,317, <jats:italic>P<\/jats:italic>\u2009&lt;\u20090.001), higher cost ($29,365 vs. $20,706, <jats:italic>P<\/jats:italic>\u2009&lt;\u20090.001), higher rates of tracheostomy and gastrostomy tube placement, and more wound and bleeding complications. TORS was associated with a higher rate of dysphagia (19.5% vs. 8.0%, <jats:italic>P<\/jats:italic>\u2009&lt;\u20090.001). The lower cost of TORS remained significant in the major\u2010to\u2010extreme severity of illness group but was associated with higher complication rates when compared to open cases of the same severity of illness. A similar analysis of TORS partial glossectomy for base of tongue tumors had similar cost and length of stay benefits, whereas TORS partial glossectomy for anterior tongue tumors revealed longer hospital stays and no benefit in charge or cost compared to open.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Early data demonstrate a clinical and cost benefit in TORS partial pharyngectomy and partial glossectomy for the base of tongue but no benefit in partial glossectomy of the anterior tongue. It is likely that anatomic accessibility and extent of surgery factor into the effectiveness of TORS.<\/jats:p><\/jats:sec><jats:sec><jats:title>Level of Evidence<\/jats:title><jats:p>2c. <jats:italic>Laryngoscope<\/jats:italic>, 125:140\u2013145, 2015<\/jats:p><\/jats:sec>","DOI":"10.1002\/lary.24870","type":"journal-article","created":{"date-parts":[[2014,8,5]],"date-time":"2014-08-05T12:05:14Z","timestamp":1407240314000},"page":"140-145","source":"Crossref","is-referenced-by-count":68,"title":["Transoral robotic surgery for oropharyngeal and tongue cancer in the <scp>U<\/scp>nited <scp>S<\/scp>tates"],"prefix":"10.1002","volume":"125","author":[{"given":"Thomas K.","family":"Chung","sequence":"first","affiliation":[{"name":"Department of Surgery Division of Otolaryngology Head and Neck Surgery University of Alabama at Birmingham Birmingham Alabama"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eben L.","family":"Rosenthal","sequence":"additional","affiliation":[{"name":"Department of Surgery Division of Otolaryngology Head and Neck Surgery University of Alabama at Birmingham Birmingham Alabama"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J. Scott","family":"Magnuson","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology Head and Neck Surgery University of Central Florida Orlando Florida U.S.A"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"William R.","family":"Carroll","sequence":"additional","affiliation":[{"name":"Department of Surgery Division of Otolaryngology Head and Neck Surgery University of Alabama at Birmingham Birmingham Alabama"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2014,8,5]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.1109\/10.1354"},{"key":"e_1_2_6_3_1","doi-asserted-by":"publisher","DOI":"10.1177\/000348940711600104"},{"key":"e_1_2_6_4_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMp1006602"},{"key":"e_1_2_6_5_1","unstructured":"Consumer Price Index Detailed Report Data for January2014. Available athttp:\/\/www.bls.gov\/cpi\/cpid1401.pdf. Accessed July 30 2014."},{"key":"e_1_2_6_6_1","first-page":"519","article-title":"Individualized treatment for alcohol withdrawal","volume":"272","author":"Saitz R","year":"1994","journal-title":"A randomized double\u2010blind controlled trial. JAMA"},{"key":"e_1_2_6_7_1","doi-asserted-by":"publisher","DOI":"10.1002\/lary.24358"},{"key":"e_1_2_6_8_1","doi-asserted-by":"publisher","DOI":"10.1097\/SLA.0b013e31821d4a43"},{"key":"e_1_2_6_9_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1464-410X.2011.10114.x"},{"key":"e_1_2_6_10_1","doi-asserted-by":"publisher","DOI":"10.1002\/lary.20647"},{"key":"e_1_2_6_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jamcollsurg.2004.05.276"},{"key":"e_1_2_6_12_1","doi-asserted-by":"publisher","DOI":"10.1002\/hed.22992"},{"key":"e_1_2_6_13_1","doi-asserted-by":"publisher","DOI":"10.1002\/lary.23294"},{"key":"e_1_2_6_14_1","doi-asserted-by":"publisher","DOI":"10.1001\/archotol.133.12.1220"},{"key":"e_1_2_6_15_1","doi-asserted-by":"publisher","DOI":"10.1177\/0194599811402172"},{"key":"e_1_2_6_16_1","doi-asserted-by":"publisher","DOI":"10.1002\/hed.20972"},{"key":"e_1_2_6_17_1","doi-asserted-by":"publisher","DOI":"10.1002\/hed.21500"},{"key":"e_1_2_6_18_1","doi-asserted-by":"publisher","DOI":"10.1177\/0194599812443353"}],"container-title":["The Laryngoscope"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1002%2Flary.24870","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/lary.24870","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,10,3]],"date-time":"2023-10-03T18:42:57Z","timestamp":1696358577000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/lary.24870"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2014,8,5]]},"references-count":17,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2015,1]]}},"alternative-id":["10.1002\/lary.24870"],"URL":"https:\/\/doi.org\/10.1002\/lary.24870","archive":["Portico"],"relation":{},"ISSN":["0023-852X","1531-4995"],"issn-type":[{"value":"0023-852X","type":"print"},{"value":"1531-4995","type":"electronic"}],"subject":[],"published":{"date-parts":[[2014,8,5]]}}}