Purpose <p>The primary objective of this study was to assess the impact of EPCS/RG on swallowing function using Dysphagia Outcome and Severity Scale (DOSS) scores. Secondary objectives included decannulation rates, voice changes, and breathing improvements assessed by Empey&#xa0;index.</p> Methods <p>This retrospective study included patients who underwent EPCS/RG between 2017 and 2024. Patient demographics, pre- and post-procedure swallowing capacity (DOSS), tracheostomy status, and pulmonary function were extracted from medical records. Statistical analysis included Fisher exact test, Mann–Whitney-U test and Spearman’s correlation.</p> Results <p>A total of 23 patients were included. The mean age was 9&#xa0;years, with 68% being male. The median DOSS score changed insignificantly from 7 pre-op to 6 post-op (p = 0.8087), while Empey index significantly improved (p = 0.022).</p> Conclusion <p>EPCS/RG did not significantly affect swallowing capacity but improved pulmonary function and increased decannulation rates.</p>

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Pre- and post-operative outcomes of endoscopic posterior cricoid split with graft placement

  • Zahra Almoumen,
  • Luluh Alsughayer,
  • Hanna Alrshaid,
  • Abdullah Sindi,
  • Ahmed Alammar

摘要

Purpose

The primary objective of this study was to assess the impact of EPCS/RG on swallowing function using Dysphagia Outcome and Severity Scale (DOSS) scores. Secondary objectives included decannulation rates, voice changes, and breathing improvements assessed by Empey index.

Methods

This retrospective study included patients who underwent EPCS/RG between 2017 and 2024. Patient demographics, pre- and post-procedure swallowing capacity (DOSS), tracheostomy status, and pulmonary function were extracted from medical records. Statistical analysis included Fisher exact test, Mann–Whitney-U test and Spearman’s correlation.

Results

A total of 23 patients were included. The mean age was 9 years, with 68% being male. The median DOSS score changed insignificantly from 7 pre-op to 6 post-op (p = 0.8087), while Empey index significantly improved (p = 0.022).

Conclusion

EPCS/RG did not significantly affect swallowing capacity but improved pulmonary function and increased decannulation rates.