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<p>The objective of this study was to compare tolerance to office-based laryngeal surgery (OBLS) between religious leaders and patients who are not religious leaders, and assess whether the change in self-perceived voice handicap following surgery differed between the two groups. A retrospective chart review of patients who underwent OBLS between November 2021 and October 2025 was conducted. Religious leaders were identified and included. Controls consisted of patients who are not religious leaders and were matched by age, gender, smoking status, history of reflux, history of allergy, and type and duration of procedure.&#xa0;Patient tolerance was measured using the Iowa Satisfaction with Anesthesia Scale (IOWA). Self-perceived voice handicap was evaluated using the Voice Handicap Index-10 (VHI-10) score. A total of 86 patients were included in the study, 43 religious leaders and 43 patients who are not religious leaders. The mean age of the religious leaders was 44.79 ± 12.81. There were no statistically significant differences in demographic and relevant health variables between religious leaders and patients who are not religious leaders.&#xa0;In religious leaders, the mean IOWA score was significantly higher than in controls (2.33 ± 1.10 vs. 1.79 ± 1.38, respectively, <i>p</i> = 0.007). There was a low positive, significant correlation between religious status and IOWA score (<i>r</i> = 0.291, <i>p</i> = 0.007). Although religious leaders demonstrated a greater mean improvement in VHI-10 scores postoperatively compared to patients who are not religious leaders, this difference was not statistically significant (− 9.33 ± 8.68 and − 7.64 ± 8.66, respectively; <i>p</i> = 0.623). Religious leaders had significantly higher tolerance scores to OBLS compared to patients who are not religious leaders. There was a low positive correlation between religious status and tolerance score. A prospective study incorporating validated religiosity scales is needed to better quantify this relationship.</p>

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Tolerance to Office-Based Laryngeal Surgery and Perceived Change in Voice Handicap in Religious Leaders Compared to Patients Who Are Not Religious Leaders in Beirut, Lebanon

  • 期刊论文

  • 发表日期：

    2026年3月23日

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  • Abdul-Latif Hamdan,
  • Valerie Sarkis,
  • Ghena Lababidi,
  • Lana Ghzayel,
  • Patrick Abou Raji Feghali

摘要

The objective of this study was to compare tolerance to office-based laryngeal surgery (OBLS) between religious leaders and patients who are not religious leaders, and assess whether the change in self-perceived voice handicap following surgery differed between the two groups. A retrospective chart review of patients who underwent OBLS between November 2021 and October 2025 was conducted. Religious leaders were identified and included. Controls consisted of patients who are not religious leaders and were matched by age, gender, smoking status, history of reflux, history of allergy, and type and duration of procedure. Patient tolerance was measured using the Iowa Satisfaction with Anesthesia Scale (IOWA). Self-perceived voice handicap was evaluated using the Voice Handicap Index-10 (VHI-10) score. A total of 86 patients were included in the study, 43 religious leaders and 43 patients who are not religious leaders. The mean age of the religious leaders was 44.79 ± 12.81. There were no statistically significant differences in demographic and relevant health variables between religious leaders and patients who are not religious leaders. In religious leaders, the mean IOWA score was significantly higher than in controls (2.33 ± 1.10 vs. 1.79 ± 1.38, respectively, p = 0.007). There was a low positive, significant correlation between religious status and IOWA score (r = 0.291, p = 0.007). Although religious leaders demonstrated a greater mean improvement in VHI-10 scores postoperatively compared to patients who are not religious leaders, this difference was not statistically significant (− 9.33 ± 8.68 and − 7.64 ± 8.66, respectively; p = 0.623). Religious leaders had significantly higher tolerance scores to OBLS compared to patients who are not religious leaders. There was a low positive correlation between religious status and tolerance score. A prospective study incorporating validated religiosity scales is needed to better quantify this relationship.