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

IF 1.9 3区医学 Q2 OTORHINOLARYNGOLOGY

European Archives of Oto-Rhino-Laryngology Pub Date : 2025-04-01 Epub Date: 2025-02-21 DOI:10.1007/s00405-025-09259-2

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

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引用次数: 0

Abstract

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.

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内窥镜下环状环后裂植骨手术前后疗效分析。

目的：本研究的主要目的是使用吞咽困难结局和严重程度量表（DOSS）评分评估EPCS/RG对吞咽功能的影响。次要目标包括用Empey指数评估的去管率、声音变化和呼吸改善。方法：本回顾性研究纳入了2017年至2024年间接受EPCS/RG治疗的患者。从医疗记录中提取患者人口统计资料、术前和术后吞咽能力（DOSS）、气管造口术状态和肺功能。统计分析采用Fisher精确检验、Mann-Whitney-U检验和Spearman相关检验。结果：共纳入23例患者。平均年龄为9岁，其中68%为男性。DOSS评分中位数由术前的7分增加到术后的6分，差异无统计学意义（p = 0.8087），而empy指数明显改善（p = 0.022）。结论：EPCS/RG对吞咽能力无显著影响，但可改善肺功能，提高脱管率。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

European Archives of Oto-Rhino-Laryngology 医学-耳鼻喉科学

CiteScore

5.30

自引率

7.70%

发文量

537

审稿时长

2-4 weeks

期刊介绍： Official Journal of European Union of Medical Specialists – ORL Section and Board Official Journal of Confederation of European Oto-Rhino-Laryngology Head and Neck Surgery "European Archives of Oto-Rhino-Laryngology" publishes original clinical reports and clinically relevant experimental studies, as well as short communications presenting new results of special interest. With peer review by a respected international editorial board and prompt English-language publication, the journal provides rapid dissemination of information by authors from around the world. This particular feature makes it the journal of choice for readers who want to be informed about the continuing state of the art concerning basic sciences and the diagnosis and management of diseases of the head and neck on an international level. European Archives of Oto-Rhino-Laryngology was founded in 1864 as "Archiv für Ohrenheilkunde" by A. von Tröltsch, A. Politzer and H. Schwartze.