Evidence map›Paper›PMID 41968836›Full record

ArticleThe Laryngoscope2026

Vocal Tract Fat Distribution and Patient Tolerance to Transnasal Office-Based Laryngeal Surgery.

Anthony Nasr, Roula Hourani, Lana Ghzayel, Ghena Lababidi, Deena Achkar, Valerie Sarkis, Patrick Abou Raji Feghali, Justin Ghadieh, Majd Al Irani, Abdul-Latif Hamdan

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Article in The Laryngoscope, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

What it found

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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

10 authors.

Anthony NasrDepartment of Diagnostic Radiology, American University of Beirut Medical Center, Beirut, Lebanon.
Roula HouraniDepartment of Diagnostic Radiology, American University of Beirut Medical Center, Beirut, Lebanon.
Lana GhzayelDepartment of Otolaryngology-Head and Neck Surgery, American University of Beirut Medical Center, Beirut, Lebanon.
Ghena LababidiDepartment of Otolaryngology-Head and Neck Surgery, American University of Beirut Medical Center, Beirut, Lebanon.
Deena AchkarFaculty of Medicine, American University of Beirut, Beirut, Lebanon.
Valerie SarkisDepartment of Otolaryngology-Head and Neck Surgery, American University of Beirut Medical Center, Beirut, Lebanon.
Patrick Abou Raji FeghaliDepartment of Otolaryngology-Head and Neck Surgery, American University of Beirut Medical Center, Beirut, Lebanon.ORCID 0000-0002-2827-1289
Justin GhadiehDepartment of Otolaryngology-Head and Neck Surgery, American University of Beirut Medical Center, Beirut, Lebanon.
Majd Al IraniFaculty of Medicine, Beirut Arab University, Beirut, Lebanon.
Abdul-Latif HamdanDepartment of Otolaryngology-Head and Neck Surgery, American University of Beirut Medical Center, Beirut, Lebanon.ORCID 0000-0003-1493-3568

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo analyze the correlation between vocal tract fat volume and patient tolerance to office-based laryngeal surgery using the transnasal approach.

methodsThe medical records and video recordings of all patients who underwent office-based laryngeal surgery (OBLS) between April 2024 and January 2026 were reviewed. Demographic data included age, gender, body mass index (BMI), history of smoking, history of reflux disease, allergy, voice diagnosis, and type of OBLS. Three fat compartments were analyzed: (1) parapharyngeal fat volume at the palatal level, (2) parapharyngeal fat at the glossal level, and (3) the pre-epiglottic adipose tissue. Patient tolerance was evaluated using the IOWA Satisfaction with Anesthesia Scale and a Visual Analog Scale (VAS).

resultsForty patients were included in the study. The mean IOWA score of the total group was 2.55 ± 0.68, and the mean VAS tolerance score was 8.70 ± 1.65. Linear regression analysis accounting for potential confounding factors showed a moderate, negative, statistically significant correlation between the volume of parapharyngeal fat at the level of the palate and IOWA scale score (adjusted coefficient β = -0.567, p = 0.049). There was also a mild, negative, non-significant correlation between the volume of parapharyngeal fat at the level of the palate and VAS scores (adjusted coefficient β = -0.251, p = 0.211).

conclusionAn increase in parapharyngeal fat volume at the level of the palate was associated with a decrease in IOWA scale score, suggesting reduced tolerance to OBLS. A study with a larger sample size is needed to draw stronger conclusions. LEVEL OF EVIDENCE: 2:

Indexed as

Adipose TissueAmbulatory Surgical ProceduresBody Fat DistributionLaryngeal DiseasesPatient SatisfactionVocal CordsAdultAgedFemaleHumansMaleMiddle AgedRetrospective Studiesfat volumeslaryngologyoffice‐basedpatient tolerance

Identifiers

PMID41968836
PMCPMC13357359

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.