Our Results of Transcanalicular Multidiode Laser Dacryocystorhinostomy With and Without Silicon Tube Intubation

Özet

Introduction: To compare surgical outcomes with and without bicanalicular silicon tube intubation for the treatment of patients with primary uncomplicated nasolacrimal duct obstruction. Methods: This retrospective study included 61 patients with uncomplicated primary nasolacrimal duct obstruction, who were divided into two groups: Group 1 underwent transcanalicular diode laser dacryocystorhinostomy surgery with bicanalicular silicon tube intubation and Group 2 underwent transcanalicular diode laser dacryocystorhinostomy surgery without bicanalicular silicon tube intubation. The mean follow-up periods were 13±0.6 months for Group 1 and 13±0.6 months for Group 2. Results: Success was defined as irrigation of the lacrimal system without regurgitation and the absence of epiphora. Success rates were 80.0% (24/30) for Group 1 and 64.5% (20/31) for Group 2 in the first year after operation. A statistically significant difference was found between the two groups (p=0.03). Discussion and Conclusion: Transcanalicular diode laser dacryocystorhinostomy surgery with bicanalicular silicon tube intubation was more successful than that without bicanalicular silicon tube intubation.