“…Hirano, almost 30 years ago, tried to investigate the depth of vocal muscle invasion to better understand the pathophysiological mechanism of vocal fold hypomobility, although he did not relate it with LC prognosis [ 28 ]. A recent study partly addressed this issue, demonstrating worse outcomes resulting from the histopathological finding of deep infiltration into vocal muscle in early LC, though not correlating the ensuing prognosis with a continuous linear measurement [ 29 ]. On the other hand, Yilmaz et al analyzed the role of deep neoplastic invasion in 74 laryngeal specimens, finding a direct correlation between this parameter and survival: in their work, the authors evaluated the correlation between depth of invasion (DOI) and nodal disease, showing that the mean DOI for N0, N1, N2, and N3 categories were 6.33, 8.72, 9.54, and 5.53 mm, respectively [ 30 ].…”