Outcomes of Endoscopic Powered Revision Dacryocystorhinostomy
| Autor: | Aynur Aliyeva, Çağri Çelik, Gökçe Aksoy, Deniz Tuna Edizer, Mehmet Emrah Ceylan, Abdullah Dalgic |
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| Rok vydání: | 2018 |
| Předmět: |
Male
Reoperation medicine.medical_specialty Revision procedure medicine.medical_treatment Dacryocystorhinostomy Silicones Endoscopic dacryocystorhinostomy Surgical Flaps Cicatrix 03 medical and health sciences Postoperative Complications 0302 clinical medicine medicine Humans 030223 otorhinolaryngology Synechia Silicone tube Aged Retrospective Studies Lacrimal Apparatus Diseases business.industry Granulation tissue Endoscopy General Medicine Middle Aged medicine.disease Surgery Ostium medicine.anatomical_structure Otorhinolaryngology Granulation Tissue 030221 ophthalmology & optometry Etiology Female Intubation business Nasolacrimal Duct |
| Zdroj: | Journal of Craniofacial Surgery. 29:1960-1962 |
| ISSN: | 1536-3732 1049-2275 |
| DOI: | 10.1097/scs.0000000000004881 |
| Popis: | Objective of this study is to determine the etiology of patients applied with revision endoscopic dacryocystorhinostomy (DCR) and to evaluate the operation results.The patients were retrospectively evaluated in respect of demographic data, the time from primary to revision surgery, revision etiology, the use of bicanalicular silicone nasolacrimal tube (BNLT), the time to postoperative removal of the silicone tube, and the success of the revision surgery.The study included 27 patients applied with revision endoscopic DCR between January 2013 and January 2016. The mean age of the patients was 46.7 ± 11.7 years. The mean time from the first operation to revision surgery was 7.2 ± 6.1 months (range, 1-24 months). During the endoscopic DCR, synechia was observed in 2 (7.4%), granulation tissue in 7 (25.9%), inadequate bone window in 5 (18.52%), and membranous scar around the ostium in 22 (81.4%) patients. More than 1 etiologic problem was determined in 8 patients. During the revision procedure, BNLT was applied to 12 (44.4%) patients. At the final follow-up examination, the complaint of epiphora had completely recovered in 18 (66.6%) patients and there were in 9 (33.3%) patients. The mean time to removal of the BNLT was 1.7 ± 0.57 months (range, 1-3 months).The most common cause of recurrent epiphora in endoscopic DCR was the formation of membranous scar. The use of the mucosal flap technique in primary surgery and the application of BNLT to all patients in revision surgery may increase the functional success rate. |
| Databáze: | OpenAIRE |
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