Letter to the editor regarding, "Impact of post-operative transoral robotic surgery hemorrhage on adjuvant treatment delays in patients with oropharyngeal squamous cell carcinoma".

The study finds no significant difference in the timing of radiation therapy initiation between bleeding and non-bleeding cohorts, ensuring that timely adjuvant care is achievable without compromising survival. Feeding tube dependency and dysphagia outcomes are also explored to enhance understanding of post-surgical morbidity and quality of life. With a multi-institutional design, the study strengthens the generalizability of its findings and addresses limitations inherent in retrospective data collection. Future research could use validated patient-reported outcomes to refine swallowing assessments and investigate novel hemostatic techniques as alternatives to transcervical arterial ligation. Additionally, exploring HPV-related prognostic subgroups will provide further clarity on oncological outcomes. This study paves the way for optimizing TORS protocols to improve patient care and long-term survival.