Highlights
Patients with greater parapharyngeal fat at the palatal level reported significantly lower satisfaction scores during awake laryngeal procedures.
The study identified a moderate negative correlation between palatal-level fat volume and IOWA anesthesia satisfaction scores (adjusted β = -0.567, p = 0.049).
Pre-procedure anatomical assessment may help clinicians predict patient tolerance and optimize procedural planning for transnasal office-based laryngeal surgery.
