[Trans-canalicular diode laser dacryocystorhinostomy: technical variations and results].

Autor:	Maeso Riera J; Otorrinolaringología, Hospital Municipal de Badalona, Barcelona, España. 24024jmr@comb.es, Sellarès Fabrés MT
Jazyk:	Spanish; Castilian
Zdroj:	Acta otorrinolaringologica espanola [Acta Otorrinolaringol Esp] 2007 Jan; Vol. 58 (1), pp. 10-5.
Abstrakt:	Objective: To confirm the usefulness of the trans-canalicular laser approach of lachrymal obstructions. Material and Method: We carried out an observational, prospective, non-randomized interventional study on 150 consecutive eyes treated, between March 2004 and March 2005, using a trans-canalicular approach with a diode laser, under endonasal endoscopic control. We studied 2 groups of 75 eyes: in group I we did not use lachrymal silicone intubation nor mitomycin C; in group II we used mitomycin C and bicanalicular lachrymal intubation. Mean follow-up period has been 16 months. Results: Positive lachrymal irrigation was present in 67/75 eyes in group I and in 71/75 eyes in group II. Clinical improvement was found in 69/75 eyes in group I and in 73/75 in group II. Conclusions: Technical variations as lachrymal intubation or use of mitomycin C have not demonstrate significant differences. Our results indicate that the transcanalicular approach with diode is effective, with minimal local and general morbidity.
Databáze:	MEDLINE
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