{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,11]],"date-time":"2026-08-11T17:47:51Z","timestamp":1786470471129,"version":"build-2736575974"},"reference-count":23,"publisher":"Wiley","issue":"9","license":[{"start":{"date-parts":[[2026,4,7]],"date-time":"2026-04-07T00:00:00Z","timestamp":1775520000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2026,4,7]],"date-time":"2026-04-07T00:00:00Z","timestamp":1775520000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["The Laryngoscope"],"published-print":{"date-parts":[[2026,9]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>Mucoepidermoid carcinoma (MEC) of the base of the tongue is exceedingly rare in the pediatric population. While transoral robotic surgery (TORS) has expanded minimally invasive options for oropharyngeal malignancies in adults, its application in pediatric tongue base tumors remains limited. This report aims to highlight the feasibility and oncologic adequacy of TORS in a carefully selected pediatric patient.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We report the case of a 13\u2010year\u2010old girl with low\u2010grade MEC of the base of the tongue treated with TORS using the da Vinci Xi surgical system (Intuitive Surgical Inc.). Surgical duration, intraoperative findings, histopathologic features, and postoperative course were analyzed. Relevant literature regarding pediatric applications of TORS and alternative surgical approaches was reviewed.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Complete en bloc resection with negative margins (R0) was achieved in 37\u2009min without measurable blood loss. A branch of the right lingual artery was safely clipped under robotic visualization. The postoperative course was uneventful, and nasogastric feeding was maintained until postoperative Day 7. Histopathologic analysis confirmed low\u2010grade MEC with negative margins and demonstrated MAML2 rearrangement in more than 50% of tumor cells by fluorescence in\u00a0situ hybridization. No adjuvant therapy was indicated.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Transoral robotic surgery may represent a safe, minimally invasive, and oncologically appropriate surgical option for carefully selected pediatric patients with tongue base mucoepidermoid carcinoma. Further multicenter studies are warranted to better define long\u2010term oncologic and functional outcomes in this population.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Level of Evidence<\/jats:title>\n                    <jats:p>N\/A.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/lary.70560","type":"journal-article","created":{"date-parts":[[2026,4,8]],"date-time":"2026-04-08T03:55:35Z","timestamp":1775620535000},"page":"4043-4048","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Transoral Robotic Resection of Pediatric Tongue Base Mucoepidermoid Carcinoma"],"prefix":"10.1002","volume":"136","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6028-8048","authenticated-orcid":false,"given":"Krisztina","family":"Somogyv\u00e1ri","sequence":"first","affiliation":[{"name":"Department of Otorhinolaryngology\u2014Head and Neck Surgery University of P\u00e9cs Medical School  P\u00e9cs Hungary"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kinga","family":"Jakab\u2010P\u00e9ter","sequence":"additional","affiliation":[{"name":"Department of Otorhinolaryngology\u2014Head and Neck Surgery University of P\u00e9cs Medical School  P\u00e9cs Hungary"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tam\u00e1s","family":"Torn\u00f3czki","sequence":"additional","affiliation":[{"name":"Department of Pathology University of P\u00e9cs Medical School  P\u00e9cs Hungary"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kriszti\u00e1n","family":"Moln\u00e1r","sequence":"additional","affiliation":[{"name":"Department of Medical Imaging University of P\u00e9cs Medical School  P\u00e9cs Hungary"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Istv\u00e1n","family":"Szanyi","sequence":"additional","affiliation":[{"name":"Department of Otorhinolaryngology\u2014Head and Neck Surgery University of P\u00e9cs Medical School  P\u00e9cs Hungary"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,4,7]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.coms.2015.07.008"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1001\/archotol.128.6.655"},{"key":"e_1_2_9_4_1","article-title":"Salivary Gland Carcinomas in Children and Adolescents: A Retrospective Analysis of the European Cooperative Study Group for Pediatric Rare Tumours (EXPeRT)","volume":"2","author":"Schneider D. T.","year":"2023","journal-title":"European Journal of Cancer"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjoto.2023.103948"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.1001\/archotol.132.4.375"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.3390\/curroncol30070456"},{"key":"e_1_2_9_8_1","doi-asserted-by":"publisher","DOI":"10.1097\/00000478-200107000-00001"},{"key":"e_1_2_9_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.pedex.2011.07.004"},{"key":"e_1_2_9_10_1","doi-asserted-by":"publisher","DOI":"10.1002\/lary.23294"},{"key":"e_1_2_9_11_1","doi-asserted-by":"publisher","DOI":"10.3390\/jcm12062303"},{"issue":"6","key":"e_1_2_9_12_1","article-title":"Current Applications and Outcomes of Robotic Surgery in Pediatric Upper Airway and Neck Procedures: A Systematic Review","volume":"12","author":"Visconti I. 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