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Gülhane Military Medical Academy and Medical Faculty, Haydarpaşa Training Hospital, Department of Plastic and Reconstructive Surgery and Burn Unit, Istanbul, Turkey The carpal tunnel syndrome is the most common nerve entrapment syndrome. Many different methods have been described for treatment. We performed a novel method to release the carpal tunnel. Subsequently, we compared the surgery results of this novel limited incision technique and the standard longitudinal incision technique by using a ‘Numerical Grading System'. There is no reported study about the use of ‘Numerical Grading System' for assessment of carpal tunnel syndrome in the literature. The novel technique is simple and effective, employs inexpensive instruments, and has a low complication rate. The aim of this paper is to record a novel limited incision technique and a new assessment method for the carpal tunnel syndrome. Keywords : Carpal tunnel syndrome, Limited incision technique, Numerical grading system, Pressure specified sensory device, Pillar pain