Endoscopic Transcanalicular Diode Laser Dacryocystorhinostomy
| Autor: | Tongabay Cumurcu, Soner Demirel, Gozde Orman, Selim Doganay, Kutukde Derya, Abuzer Gunduz |
|---|---|
| Rok vydání: | 2013 |
| Předmět: |
Adult
Male medicine.medical_specialty Adolescent medicine.medical_treatment Dacryocystorhinostomy Young Adult External dacryocystorhinostomy Lacrimal Duct Obstruction medicine Humans Intubation Child Aged Alternative methods Nasolacrimal duct medicine.diagnostic_test business.industry Significant difference Endoscopy General Medicine Middle Aged eye diseases Osteotomy Surgery Ophthalmology Treatment Outcome medicine.anatomical_structure Nasolacrimal canal Silicone Elastomers Female Laser Therapy sense organs Lasers Semiconductor business Nasolacrimal Duct |
| Zdroj: | Ophthalmic Plastic & Reconstructive Surgery. 29:15-17 |
| ISSN: | 0740-9303 |
| Popis: | PURPOSE To compare the success rates of endoscopic transcanalicular diode laser dacryocystorhinostomy (EL-DCR) and external DCR. MATERIALS AND METHODS Operations were performed on 55 eyes of 54 patients who had distal nasolacrimal canal obstruction. External DCR was performed on 29 of the eyes and EL-DCR on 26 of them. Success was defined based on subjective relief of patients reported at their final examinations. RESULTS There were 23 women and 6 men in group 1 and 19 women and 6 men in group 2 (p = 0.77). The mean ages of groups were 45.24 ± 12.08 (range, 15-74) and 43.2 ± 17.01 (range, 11-72) years, respectively (p = 0.63). The mean follow-up times were 8.82 ± 5.51 (range, 3-18) and 7.12 ± 2.96 (range, 2-12) months, respectively in groups (p = 0.58). The success rates based on symptoms were measured at 25 of 29 (86%) and 17 of 25 (68%) for 2 groups. The difference in the success rates was higher but not found to be statistically significant (p = 0.202). The authors found various conditions related to nasal passage in 4 of 8 unsuccessful EL-DCR, including allergic rhinitis, nasal crust, silicone tube reaction, and unsuitable passage for endoscopic surgery. CONCLUSIONS The success rate of EL-DCR was lower than that of the external DCR; however, no statistically significant difference was observed. Endoscopic transcanalicular diode laser DCR may be considered as an alternative method to external DCR with these results. |
| Databáze: | OpenAIRE |
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