SavedAdd your journal

Journals / Şişli Etfal Hastanesi Tıp Bülteni / 2012 / Cilt: 46 - Sayı: 4

Our primary endoscopic dacryocystorhinostomy results

Primer endoskopik dakriyosistorinostomi sonuçlarımız

Burak ÜLKÜMEN
Çetin GÜMÜŞTAŞ
Hayati ŞAVK
Pages
208–213
DOI
—
🏛️Bibliographic metadata and full text access for this article are provided via DergiPark.
DergiPark Record ↗
✨

AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

Conclusion: Endoscopic dacryocystorhinostomy compared with external approaches have a remarkable high success rate with no visible scar formation and rapid healing time.

📌 3 Key Takeaways

🎯
Objective & Hypothesis:Objective: In this study, we evaluate retrospectively the results of 95 patients who underwent endoscopic dacryocystorhinostomy due to chronic dacryostenosis between June 2007 and November 2011.
📊
Key Findings & Data:Methods: Of 95 patients, 82 (86%) were adult, 13 (14%) were children. 71 (87%) of adult patients were female and 11 (13%) were male having ages between 17 and 78 (mean age: 40). 5 (26%) of pediatric group were female and 9 (64%) were male having ages between 3 and 14 (mean age: 8,7).
💡
Conclusion & Impact:Conclusion: Endoscopic dacryocystorhinostomy compared with external approaches have a remarkable high success rate with no visible scar formation and rapid healing time.
🔬Design:Review & Systematic Survey
📍Scope:2007 Verileri
⚙️Variables:Domain Parameters

Abstract

Objective: In this study, we evaluate retrospectively the results of 95 patients who underwent endoscopic dacryocystorhinostomy due to chronic dacryostenosis between June 2007 and November 2011. Methods: Of 95 patients, 82 (86%) were adult, 13 (14%) were children. 71 (87%) of adult patients were female and 11 (13%) were male having ages between 17 and 78 (mean age: 40). 5 (26%) of pediatric group were female and 9 (64%) were male having ages between 3 and 14 (mean age: 8,7). Of 18 (19%) patients were operated bilaterally and only one of them was a child (7 years old female). At sixth postoperative month, the success rate was determined according to existence of epiphora and iatrogenic ostium. Results: At the sixth postoperative month, the clinical results were reviewed. Of 113 endoscopic endonasal dacryocystorhinostomy operations 77 were unilateral and 18 were bilateral. Total cure accomplished in 103 (91,1%) operations and recurrence were seen in 10 (%8,9) operations. Conclusion: Endoscopic dacryocystorhinostomy compared with external approaches have a remarkable high success rate with no visible scar formation and rapid healing time.

Özet

Amaç: Bu çalışmada Haziran 2007 ile Kasım 2011 tarihleri arasında kronik dakriyostenoz nedeniyle endoskopik dakriyosistorinostomi uygulanan 95 hastanın sonuçlarını retrospektif olarak değerlendirdik. Yöntemler: Çalışmaya alınan 95 hastanın 82si (%86) yetişkin, 13ü (%14) çocuk hastaydı. Yetişkin hastaların 71i (%87) kadın, 11i (%13) erkek olup yaşları 17 ile 78 arasında (ortalama 40) değişmekteydi. Çocuk hastaların ise 5i kız (%26), 9u (%64) erkek olup yaşları 3 ile 14 arasındaydı (ortalama 8,7). 18 (%19) hastaya bilateral müdahale yapıldı. Bilateral opere edilen hastaların sadece 1 tanesi (7 yaşında, kız) çocuktu. Hastalar cerrahi sonrası 6 ay ile 57 ay arasında takip edildi. Postoperatif 6. ayda operasyonların başarı oranı epifora varlığı ve iatrojenik ostium açıklığı gözlenerek değerlendirildi. Bulgular: Cerrahi sonrası 6 aylık takipte hastaların 77sinde tek taraflı, 18inde iki taraflı olmak üzere, toplam 113 endoskopik dakriyosistorinostomi girişiminin 103ünde (%91,1) semptomlarda tam iyileşme sağlanırken 10unda (%8,9) şikayetlerin devam ettiği tespit edildi. Sonuç: Endoskopik dakriyosistorinostomi, eksternal yaklaşımlar ile karşılaştırıldığında yüksek başarı oranı, görünür iz bırakmaması ve çabuk iyileşme süresi ile dikkat çekmektedir.

🔖

Cite This Article

ÜLKÜMEN, B., GÜMÜŞTAŞ, Ç., ŞAVK, H. (2012). Our primary endoscopic dacryocystorhinostomy results. Şişli Etfal Hastanesi Tıp Bülteni, Cilt: 46 - Sayı: 4, 208–213. https://ajindex.com/articles/363452

📄 Full Text PDF Viewer

📄

PDF görüntüleyici hazırlanıyor...

References (18)

  1. McDonogh M, Meirig JH. Endoscopic transnasal dacrocystorhinostomy. J Laryngol Otol 1989;100:585-87
  2. Benger R, Forer M. Endonasal dacryocystorhinostomy: Primary and secondary. Aust NZJ Ophthalmol 1993;21(3):441-42
  3. Metson R. The endoscopic approach for revision dacryocystorhinostomy. Laryngoscope 1990;100(12):1344-47
  4. Presutti L. Endonasal dacryocystorhinostomy. Acta Otorhinolaryngol Ital 1995;15:449-53
  5. Bambule G, Chamero J. Endonasal dacryocystorhinostomy (DCR). Rev Med Suisse Romande 2001;121:747-51
  6. McMasters M, Messerli J, Wolfensberger M. Endonasal dacryocystorhinostomy: technique and results. Schweiz Med Wochenschr 2000;116:745-65
  7. Zilelioglu G, Tekeli O, Ugurba SH, Akiner M, Akturk T, Anadolu Y. Results of endoscopic endonasal non-laser dacryocystorhinostomy. Doc Ophthalmol 2002;105:57-62
  8. Weidenbecher M, Hosemann W, Buhr W. Endoscopic endonasal dacryocystorhinostomy: results in 56 patients. Ann Otol Rhinol Laryngol 1994;103:363-7
  9. Piane R, Romano L, Nuti D, Romano F, Passali D. Endonasal dacryocystorhinostomy: a personal experience. Acta Otorhinolaryngol Ital 1990;19:255-9
  10. Par I, Pliskvova I, Plch J. Endoscopic endonasal dacryocystorhinostomy: indications, technique and results. Cesk Slov Oftalmol 1998;54:387-91
  11. Dolman PJ. Comparison of external dacryocystorhinostomy with nonlaser endonasal dacryocystorhinostomy. Ophthalmology 2003;110(1):78-84
  12. Woog JJ, Kennedy RH, Custer PL, Kaltreider SA, Meyer DR, Camara JG. Endonasal dacryocystorhinostomy: a report by the American Academy of Ophthalmology. Ophthalmology 2001;108(12):2369-77
  13. Tsirbas A, Davis G, Wormald PJ. Mechanical endonasal dacryocystorhinostomy versus external dacryocystorhinostomy. Ophthal Plast Reconstr Surg 2004;20(1):50-6
  14. Chastain JB, Cooper MH, Sindwani R. The maxillary line: anatomic characterization and clinical utility of an important surgical landmark. Laryngoscope. 2005 Jun;115(6):990-2
  15. Toti A (1904) Nuovo metodo conservatore di cura radicale delle suppurazioni croniche del sacco lacrimale (dacriostorinostomia). Clin Mod Pisa 10:385-387
  16. Caldwell GW (1893) Two new operations for obstruction of the nasal duct with preservation of the canaliculi, and incidental description of a new lachrymal probe. NY Med J 57:581
  17. Ben Simon GJ, Joseph J, Lee S et al (2005) External versus endoscopic dacryocystorhinostomy for acquiered nasolacrimal duct obstruction in a tertiary referral center. Ophthalmology 112:1463-1468
  18. Watkins