Impact of Upper Airway Narrowing on Patient Tolerance in Office-Based Blue Laser Surgery

Abdul-Latif Hamdan; Marc Mourad; Patrick Abou Raji Feghali; Zeina Maria Semaan; Marwan Rizk; Omar Aboul Hosn; Jonathan Abou Chaar; Hani Tamim

doi:10.1016/j.jvoice.2025.02.015

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Impact of Upper Airway Narrowing on Patient Tolerance in Office-Based Blue Laser Surgery

Journal article

Peer reviewed

Impact of Upper Airway Narrowing on Patient Tolerance in Office-Based Blue Laser Surgery

Abdul-Latif Hamdan, Marc Mourad, Patrick Abou Raji Feghali, Zeina Maria Semaan, Marwan Rizk, Omar Aboul Hosn, Jonathan Abou Chaar and Hani Tamim

Journal of voice

03/20/2025

DOI: 10.1016/j.jvoice.2025.02.015

PMID: 40118658

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Abstract

The purpose of this study was to evaluate the impact of upper airway narrowing on patient tolerance in office-based laser surgery (OBLS). Retrospective chart review. All patients who underwent office-based blue laser surgery for benign and pre-malignant laryngeal lesions between November 2021 and September 2024 were reviewed. The Iowa Satisfaction with Anesthesia Scale questionnaire and the Visual analogue scale score for discomfort were used. Demographic data included age, gender, smoking, Body mass Index, co-morbidities, and etiology of dysphonia. Four anatomical sites of the upper airway were evaluated for the presence of narrowing: the nose, nasopharynx, oro/hypopharynx, and larynx. A total of 89 patients were included. The most common site of upper airway narrowing was the nose in 74.1% of the cases. This was followed by the nasopharynx and oro-hypopharynx in 23.5% and 20.2% of the cases respectively. Only 11 patients had laryngeal narrowing with the most common cause being prolapse of the epiglottis. The mean IOWA score of the study group was 1.5 ± 1.1. There was no significant difference in the mean IOWA score between those with or without laryngeal narrowing. The mean VAS score was 2.98 ± 2.47. There was also no significant difference in the mean VAS discomfort score in patients with or without upper airway narrowing, except in those with oro/hypopharyngeal narrowing (p=0.011). Upper airway narrowing had a non-significant impact on patient tolerance and discomfort. Nevertheless, patients with narrowing of the upper airway require diligent handling of the endoscope to reduce any potential discomfort.

blue laser

IOWA

office-based

upper airway

VAS

Details

Title: Subtitle: Impact of Upper Airway Narrowing on Patient Tolerance in Office-Based Blue Laser Surgery
Creators: Abdul-Latif Hamdan - American University of Beirut Medical Center
Marc Mourad - American University of Beirut Medical Center
Patrick Abou Raji Feghali - American University of Beirut Medical Center
Zeina Maria Semaan - American University of Beirut Medical Center
Marwan Rizk - American University of Beirut Medical Center
Omar Aboul Hosn - American University of Beirut Medical Center
Jonathan Abou Chaar - American University of Beirut Medical Center
Hani Tamim - American University of Beirut Medical Center
Resource Type: Journal article
Publication Details: Journal of voice
Publisher: Elsevier Inc
DOI: 10.1016/j.jvoice.2025.02.015
PMID: 40118658
ISSN: 0892-1997
eISSN: 1873-4588
Language: English
Electronic publication date: 03/20/2025
Academic Unit: Anesthesia
Record Identifier: 9984802012402771

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