{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,16]],"date-time":"2026-10-16T14:59:17Z","timestamp":1792162757843,"version":"4.4.0"},"reference-count":19,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2020,7,23]],"date-time":"2020-07-23T00:00:00Z","timestamp":1595462400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["The Laryngoscope"],"published-print":{"date-parts":[[2021,5]]},"abstract":"<jats:sec><jats:title>Objectives\/Hypothesis<\/jats:title><jats:p>To investigate the surgical, oncological, and functional outcomes of transoral robotic surgery (TORS) for the treatment of supraglottic squamous cell carcinoma.<\/jats:p><\/jats:sec><jats:sec><jats:title>Study Design<\/jats:title><jats:p>Retrospective chart review.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>The charts of patients treated by TORS supraglottic laryngectomy (SGL) in an academic medical center were reviewed. The following outcomes were studied according to the tumor location: average robotic setup and operative times, mean estimated blood loss, postoperative complications, need of tracheotomy, refeeding characteristics, mean hospital stay, need of neck dissection and adjuvant therapy, 5\u2010year local and regional controls, overall survival (OS), and disease\u2010free survival (DFS).<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Seventy\u2010five patients underwent TORS SGL. Tumors were classified as cT1 (32%), cT2 (52%), and cT3 (16%). Average robotic setup and operative times and the mean estimated blood loss were 15\u2009minutes, 55\u2009minutes, and 20\u2009mL, respectively. The mean follow\u2010up period ranged from 2 to 5\u2009years. The 5\u2010year OS and DFS were 80.2% and 94.3%, respectively. Overall, 34.6% of patients received adjuvant radiotherapy. The majority of patients (92%) restarted an oral diet within 24 to 48 hours postsurgery. Transient tracheotomy was performed in 8% of patients. Postoperative hemorrhages occurred in 12 patients (16.0%), lengthening the hospital stay (mean = 6.8\u2009days). There were no outcome differences regarding the tumor location.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>TORS is an effective and safe therapeutic approach for early\u2010 and intermediate\u2010stages cancers. Oncological outcomes may be quite similar to other surgical approaches, including transoral laser and open surgeries. Future randomized controlled studies are needed for comparing TORS SGL with other surgical procedures.<\/jats:p><\/jats:sec><jats:sec><jats:title>Level of Evidence<\/jats:title><jats:p>4 <jats:italic>Laryngoscope<\/jats:italic>, 131:1060\u20131065, 2021<\/jats:p><\/jats:sec>","DOI":"10.1002\/lary.28926","type":"journal-article","created":{"date-parts":[[2020,7,23]],"date-time":"2020-07-23T18:15:12Z","timestamp":1595528112000},"page":"1060-1065","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":35,"title":["Surgical, Oncological, and Functional Outcomes of Transoral Robotic Supraglottic Laryngectomy"],"prefix":"10.1002","volume":"131","author":[{"given":"St\u00e9phane","family":"Hans","sequence":"first","affiliation":[{"name":"Robotic Study Group of Young\u2010Otolaryngologists of the International Federations of Otorhinolaryngological Societies (YO\u2010IFOS)  Paris France"},{"name":"Department of Otorhinolaryngology\u2013Head and Neck Surgery, Foch Hospital, School of Medicine, UFR Simone Veil Universit\u00e9 Versailles Saint\u2010Quentin\u2010en\u2010Yvelines (Paris Saclay University)  Paris France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Youn\u00e8s","family":"Chekkoury\u2010Idrissi","sequence":"additional","affiliation":[{"name":"Robotic Study Group of Young\u2010Otolaryngologists of the International Federations of Otorhinolaryngological Societies (YO\u2010IFOS)  Paris France"},{"name":"Department of Otorhinolaryngology\u2013Head and Neck Surgery, Foch Hospital, School of Medicine, UFR Simone Veil Universit\u00e9 Versailles Saint\u2010Quentin\u2010en\u2010Yvelines (Paris Saclay University)  Paris France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marta P.","family":"Circiu","sequence":"additional","affiliation":[{"name":"Robotic Study Group of Young\u2010Otolaryngologists of the International Federations of Otorhinolaryngological Societies (YO\u2010IFOS)  Paris France"},{"name":"Department of Otorhinolaryngology\u2013Head and Neck Surgery, Foch Hospital, School of Medicine, UFR Simone Veil Universit\u00e9 Versailles Saint\u2010Quentin\u2010en\u2010Yvelines (Paris Saclay University)  Paris France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"L\u00e9a","family":"Distinguin","sequence":"additional","affiliation":[{"name":"Robotic Study Group of Young\u2010Otolaryngologists of the International Federations of Otorhinolaryngological Societies (YO\u2010IFOS)  Paris France"},{"name":"Department of Otorhinolaryngology\u2013Head and Neck Surgery, Foch Hospital, School of Medicine, UFR Simone Veil Universit\u00e9 Versailles Saint\u2010Quentin\u2010en\u2010Yvelines (Paris Saclay University)  Paris France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lise","family":"Crevier\u2010Buchman","sequence":"additional","affiliation":[{"name":"Robotic Study Group of Young\u2010Otolaryngologists of the International Federations of Otorhinolaryngological Societies (YO\u2010IFOS)  Paris France"},{"name":"Department of Otorhinolaryngology\u2013Head and Neck Surgery, Foch Hospital, School of Medicine, UFR Simone Veil Universit\u00e9 Versailles Saint\u2010Quentin\u2010en\u2010Yvelines (Paris Saclay University)  Paris France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0845-0845","authenticated-orcid":false,"given":"J\u00e9r\u00f4me R.","family":"Lechien","sequence":"additional","affiliation":[{"name":"Robotic Study Group of Young\u2010Otolaryngologists of the International Federations of Otorhinolaryngological Societies (YO\u2010IFOS)  Paris France"},{"name":"Department of Otorhinolaryngology\u2013Head and Neck Surgery, Foch Hospital, School of Medicine, UFR Simone Veil Universit\u00e9 Versailles Saint\u2010Quentin\u2010en\u2010Yvelines (Paris Saclay University)  Paris France"},{"name":"Department of Human Anatomy and Experimental Oncology, Faculty of 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