RETROSPECTIVE STUDY OF 861 CASES OF ENDOSCOPIC ENDONASAL DCR : OUR EXPERIENCE

Autor:	Anshuman Roy, Mayur H. Ingale, James Thomas, Paresh Chavan, Kapil Duseja, G. D. Mahajan, Priya Shah, Girija Ghate
Rok vydání:	2014
Předmět:	medicine.medical_specialty business.industry medicine.medical_treatment Stent Retrospective cohort study Marsupialization eye diseases Lacrimal sac Surgery Stoma medicine.anatomical_structure Lacrimal canaliculi medicine Intubation General anaesthesia sense organs business
Zdroj:	Journal of Evolution of Medical and Dental Sciences. 3:2121-2125
ISSN:	2278-4802 2278-4748
DOI:	10.14260/jemds/2014/2113
Popis:	AIM: To focus on difficulties in endoscopic endonasal DCR, to improve the final outcome of endoscopic endonasal DCR. To elaborate the steps this will avoid recurrence. MATERIAL AND METHODS: This article presents retrospective study of 861 cases that underwent Endoscopic endonasal DCR between Oct 2004 and Nov 2011. The patients operated were in the age group from 5 years to 94 years. The cases of lacrimal abscesses were tackled by endo DCR which gave a substantial advantage over the conventional external approach by avoiding a scar. The stenting of the canalicular system was restricted to the situations where the patency of the lacrimal canaliculi was absent and the sac syringing done on operation table showed no fluid coming from the new stoma due to the blocked canaliculi or fibrosis of lacrimal sac. The stent used was silicon bicanalicular lacrimal intubation set. CONCLUSIONS: Local anaesthesia preferred over general anaesthesia as it has less bleeding and less morbidity. Endoscopic DCR avoids scar of external approach. Coexistent sinonasal disease can be tackled at same sitting. Adequate marsupialization of sac mucosa is key for avoiding recurrence.
Databáze:	OpenAIRE
Externí odkaz:	https://explore.openaire.eu/search/publication?articleId=doi_________::69f40d538515d1f713a735188d0d3236 https://doi.org/10.14260/jemds/2014/2113 Zobrazit plný text záznamu