The Clinical Results of Endoscopic Dacryocystorhinostomy
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Tarih
2012
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Erişim Hakkı
info:eu-repo/semantics/openAccess
Özet
Epifora, gözyaşının lakrimal sistemdeki tıkanıklıktan dolayı nazal kaviteye geçememesi ile gelişen gözde yaşarma ile karakterize bir durumdur. Endoskopik dakriyosistorinostomi (EDSR) kronik dakriyosistit tedavisinde primer veya revizyon cerrahisi olarak uygulanabilen bir yöntemdir.Bu çalışmanın amacı EDSR operasyonunun sonuçlarını değerlendirmektir. Bu çalışmada EDSR operasyonu uygulanan 80 hastanın klinik sonuçları değerlendirilmiştir.12 kadına bilateral EDSR olmak üzere 82 bayan,10 erkek gözüne cer- rahi uygulandı. 72 hastaya bikanaliküler slikon tüp, 5 hastaya T tüp ve 15 hastaya sadece lakrimal kese nazal pasaj anastomozu yapıldı. Hastalar minimum 6 hafta, maksimum 36 hafta olmak üzere gözlemlendi.70 kadın,10 erkek olmak üzere 80 hastaya cerrahi uygulandı. Ortalama yaş 38 idi. En sık şikayet epifora olup bütün hastalarda epifora mevcuttu. Operasyon %48.9 sağ tarafa uygulandı. Cerrahi uygulanan 92 gözden 8 (%8.7)inde lateral nazak duvar ve orta konka laeral nazal duvarı arasında sineşi, 16 (%17.4) hastada ostium etrafında granülasyon dokusu gelişti, hastaların 8ine (%8.7) revizyon EDSR uygulandı. Bunlardan 5 tanesi operasyondan fayda gördü. Slikon tüplerin ortalama kalış süresi ve standart sapması 4.641.271 (36)hafta olarak hesaplandı. Komplet ve parsiyel başarı oranları sırası ile 78.3 % ve 15.2 % olarak belirlendi. Sonuç olarak EDSR düşük komplikasyon insidansı, yüksek genel başarı oranı ile iyi tolere edilebilen alternatif bir operasyon tekniğidir. Ayrıca endoskopik cerrahi lakrimal pompa sistemini koruyan ve cerrahi skar bırakmayan bir yöntemdir.
Epiphora is a clinical case characterised with the liquefaction of the eyes as the tears can not reach to the nasal cavity because of an obstruction in the nasolacrimal system. Endoscopic dacryocystorhinostomy (EDCR) can be used primary or as a revision surgery to treat chronic dacryocystitis. The aim of this study is to evaluate the results of EDCR operation. In the study, clinical results of 80 patients after the EDCR operation have been evaluated. Bilaterally EDCR was applied to 12 of the female patients and 92 eyes were examined in total including 82 female patient eyes and 10 male patient eyes. Bicanalicular silicon tube was inserted to 72 of the patients and T tube was inserted to 5 of the patients,in 15 patients only anastomosis of the lacrimal sac to the nasal passage was performed. Patients were observed for minimum 6 and maximum 36 months. A total 80 patient underwent surgery. 70 of the patients were female and 10 of them were male. The average age was 38 years. The most common complaint epiphora detected in all patients. 48.9% of surgery was on rigt side. 8 (8.7%) of 92 eyes had synechia between the lateral nasal wall and the middle concha lateral surface and 16 (17.4%) of them had granulation tissues around the ostium. 8 (8.7%) eyes underwent the revision EDCR and 5 (5.4%) of them benefited. Average stay duration of the silicon tube and its standart deviation were cal- culated as 4.64±1.271 (36) months. Complete success rate and partial success rate was determined 78.3% and 15.2% respectively. In conclusion, EDCR is a well tolerated a valid alternative operation with low incidence of complications and has a high general success rate. Furthermore, endoscopic surgery may also have a benefit of preserving the lacrimal pump system and leaving no surgical scar.
Epiphora is a clinical case characterised with the liquefaction of the eyes as the tears can not reach to the nasal cavity because of an obstruction in the nasolacrimal system. Endoscopic dacryocystorhinostomy (EDCR) can be used primary or as a revision surgery to treat chronic dacryocystitis. The aim of this study is to evaluate the results of EDCR operation. In the study, clinical results of 80 patients after the EDCR operation have been evaluated. Bilaterally EDCR was applied to 12 of the female patients and 92 eyes were examined in total including 82 female patient eyes and 10 male patient eyes. Bicanalicular silicon tube was inserted to 72 of the patients and T tube was inserted to 5 of the patients,in 15 patients only anastomosis of the lacrimal sac to the nasal passage was performed. Patients were observed for minimum 6 and maximum 36 months. A total 80 patient underwent surgery. 70 of the patients were female and 10 of them were male. The average age was 38 years. The most common complaint epiphora detected in all patients. 48.9% of surgery was on rigt side. 8 (8.7%) of 92 eyes had synechia between the lateral nasal wall and the middle concha lateral surface and 16 (17.4%) of them had granulation tissues around the ostium. 8 (8.7%) eyes underwent the revision EDCR and 5 (5.4%) of them benefited. Average stay duration of the silicon tube and its standart deviation were cal- culated as 4.64±1.271 (36) months. Complete success rate and partial success rate was determined 78.3% and 15.2% respectively. In conclusion, EDCR is a well tolerated a valid alternative operation with low incidence of complications and has a high general success rate. Furthermore, endoscopic surgery may also have a benefit of preserving the lacrimal pump system and leaving no surgical scar.
Açıklama
Anahtar Kelimeler
Epiphora, Dacryocystorhinostomy, Endoscopy, Epifora, Dakriyosistorinostomi, Endoskopi
Kaynak
European Journal of General Medicine
WoS Q Değeri
Scopus Q Değeri
Cilt
9
Sayı
2
Künye
Yuca, K., Varsak, Y. K., Gür, M. H., Çinal, A., Kıroğlu, A. F., Çankaya, H. (2012). The clinical results of endoscopic dacryocystorhinostomy. European Journal of General Medicine, 9, 2, 91-97.
