{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T17:34:43Z","timestamp":1787765683532,"version":"build-2784847793"},"reference-count":26,"publisher":"SAGE Publications","issue":"6","license":[{"start":{"date-parts":[[2015,1,29]],"date-time":"2015-01-29T00:00:00Z","timestamp":1422489600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Ann Otol Rhinol Laryngol"],"published-print":{"date-parts":[[2015,6]]},"abstract":"<jats:sec>\n                    <jats:title>Objectives:<\/jats:title>\n                    <jats:p>The objective of this study was to evaluate the role of transnasal fiber-optic injection laryngoplasty in the treatment of glottic insufficiency.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>Video recordings of 16 patients who underwent fiber-optic injection laryngoplasty for the treatment of glottic insufficiency were reviewed. Outcome measures included perceptual evaluation using the GRBAS (grading, roughness, breathiness, asthenia, straining) classification, laryngeal videostroboscopy, and frame-by-frame analysis to assess the extent, shape, and duration of glottic closure.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>Nine patients were ultimately included in this study. Their mean age was 66.2 years, with 7 men and 2 women. The most common symptoms were dysphonia and aspiration, and the most common diagnosis was vocal fold paralysis. Patients underwent transnasal fiber-optic injection laryngoplasty with hyaluronic acid as a filling material (0.2-0.8 mL). The procedure was well tolerated by all patients, with improvement in the phonatory symptoms and aspiration in 66.66% and 50% of patients, respectively. There were significant decreases in the mean scores of all perceptual parameters ( P &lt; .05 for all). All subjects had glottal gap preoperatively that was closed completely in 66.66% and reduced to &lt;2 mm in 33.33%. The mean closed quotient significantly increased from 0.10 to 0.51 ( P &lt; .05).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>Transnasal fiber-optic injection laryngoplasty is a safe procedure well tolerated by patients with good results.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/0003489414567936","type":"journal-article","created":{"date-parts":[[2015,1,30]],"date-time":"2015-01-30T01:00:00Z","timestamp":1422579600000},"page":"474-479","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":14,"title":["Transnasal Injection Laryngoplasty"],"prefix":"10.1177","volume":"124","author":[{"given":"Abdul-Latif","family":"Hamdan","sequence":"first","affiliation":[{"name":"Department of Otolaryngology \u2013 Head and Neck Surgery, American University of Beirut Medical Center, Beirut, Lebanon"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Georges","family":"Ziade","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology \u2013 Head and Neck Surgery, American University of Beirut Medical Center, Beirut, Lebanon"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hussein","family":"Jaffal","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology \u2013 Head and Neck Surgery, American University of Beirut Medical Center, Beirut, Lebanon"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ghassan","family":"Skaff","sequence":"additional","affiliation":[{"name":"Department of Surgery, American University of Beirut Medical Center, Beirut, Lebanon"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2015,1,29]]},"reference":[{"key":"bibr1-0003489414567936","first-page":"93","volume":"8","author":"Br\u00fcnings W","year":"1911","journal-title":"Verhandl Ver Deutsch Laryngol"},{"key":"bibr2-0003489414567936","doi-asserted-by":"publisher","DOI":"10.1002\/lary.20126"},{"key":"bibr3-0003489414567936","doi-asserted-by":"publisher","DOI":"10.1002\/lary.23762"},{"key":"bibr4-0003489414567936","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvoice.2011.08.005"},{"key":"bibr5-0003489414567936","doi-asserted-by":"publisher","DOI":"10.1097\/MOO.0b013e3281084e74"},{"key":"bibr6-0003489414567936","doi-asserted-by":"publisher","DOI":"10.1097\/00005537-200303000-00027"},{"key":"bibr7-0003489414567936","doi-asserted-by":"publisher","DOI":"10.12659\/MSM.883888"},{"key":"bibr8-0003489414567936","doi-asserted-by":"publisher","DOI":"10.1097\/00005537-200212000-00016"},{"key":"bibr9-0003489414567936","doi-asserted-by":"publisher","DOI":"10.1016\/j.otc.2005.10.008"},{"key":"bibr10-0003489414567936","doi-asserted-by":"publisher","DOI":"10.1097\/01.mlg.0000184316.51516.83"},{"key":"bibr11-0003489414567936","doi-asserted-by":"publisher","DOI":"10.3342\/ceo.2010.3.1.37"},{"key":"bibr12-0003489414567936","doi-asserted-by":"publisher","DOI":"10.1002\/lary.21097"},{"key":"bibr13-0003489414567936","doi-asserted-by":"publisher","DOI":"10.1002\/lary.21028"},{"key":"bibr14-0003489414567936","doi-asserted-by":"publisher","DOI":"10.1002\/lary.20712"},{"key":"bibr15-0003489414567936","doi-asserted-by":"publisher","DOI":"10.1016\/S1043-1810(98)80005-5"},{"key":"bibr16-0003489414567936","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvoice.2009.04.004"},{"key":"bibr17-0003489414567936","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvoice.2011.01.008"},{"key":"bibr18-0003489414567936","doi-asserted-by":"publisher","DOI":"10.1002\/lary.21666"},{"key":"bibr19-0003489414567936","doi-asserted-by":"publisher","DOI":"10.1002\/lary.20737"},{"key":"bibr20-0003489414567936","doi-asserted-by":"publisher","DOI":"10.1097\/01.moo.0000144393.40874.98"},{"key":"bibr21-0003489414567936","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjoto.2006.12.001"},{"key":"bibr22-0003489414567936","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjoto.2006.01.009"},{"key":"bibr23-0003489414567936","doi-asserted-by":"crossref","first-page":"619","DOI":"10.1016\/j.jvoice.2010.08.001","volume":"25","author":"Tan M","year":"2011","journal-title":"J Voice"},{"key":"bibr24-0003489414567936","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvoice.2012.11.001"},{"key":"bibr25-0003489414567936","doi-asserted-by":"publisher","DOI":"10.1007\/s00405-007-0450-6"},{"key":"bibr26-0003489414567936","doi-asserted-by":"publisher","DOI":"10.1001\/jamaoto.2013.38"}],"container-title":["Annals of Otology, Rhinology &amp; 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