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Updated: Jul 3, 2026
Endoscopic Septoplasty with Limited Two-line Resection: Minimally Invasive Surgery for Septal Deviation
Published on: June 20, 2018
Pre- and post-operative outcomes of endoscopic posterior cricoid split with graft placement
Zahra Almoumen1,2, Luluh Alsughayer3, Hanna Alrshaid4
1Department of Otolaryngology-Head and Neck Surgery, College of Medicine, King Saud University, Riyadh, Saudi Arabia. zahra.h.almoumen@gmail.com.
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.
