Canalicular Incisional Approach for Recanalization of Punctum: A Modified Surgical Treatment for Acquired Complete Upper and Lower Punctum Occlusions as an Alternative to Bypass Methods
| Autor: | Penpe Gul Firat, Emrah Ozturk, Seyhan Dikci, Soner Demirel |
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| Rok vydání: | 2019 |
| Předmět: |
Male
medicine.medical_specialty medicine.medical_treatment Dacryocystorhinostomy Therapeutic irrigation Severe fibrosis 03 medical and health sciences 0302 clinical medicine Lacrimal Duct Obstruction Occlusion medicine Humans Postoperative Period 030223 otorhinolaryngology Surgical treatment Therapeutic Irrigation Aged Retrospective Studies business.industry Lacrimal Apparatus Retrospective cohort study 030206 dentistry General Medicine Middle Aged Surgery Otorhinolaryngology LACRIMAL DUCT OBSTRUCTION Female Complication business |
| Zdroj: | The Journal of craniofacial surgery. 31(1) |
| ISSN: | 1536-3732 |
| Popis: | Purpose To define the success of surgical technique used in the treatment of epiphora that is caused by bi-canalicular acquired complete punctum occlusion. Materials and methods The study is a retrospective consecutive case series, who underwent canalicular incisional approach for recanalization (CIAFOR) for acquired bi-canalicular punctum occlusions. The authors have used this technique in the cases not possible to perform a punctum dilatation and not possible to determine the punctum location exactly due to severe fibrosis. Functional and anatomical success was evaluated by the absence of epiphora and with lavage at post-operative 6th months. Results Seven eyes of 5 patients (3 males and 2 females) were included in the study. The ages of the patients were 70, 65, 45, 64, and 70 years, respectively. Current follow-up periods vary between 6 and 23 months. Although functional and anatomical success achieved in all eyes, complication such as accessory punctum observed. Conclusions CIAFOR seems to be a successful and simple surgical technique to treat acquired total punctum occlusion. |
| Databáze: | OpenAIRE |
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