The Endoscope and the Radiofrequency Unit in DCR Surgery
| Autor: | Cymmer G. Go, Ferdinand E. Tan, Reynaldo M. Javate, Elmer Ng Tan, Benjamin S. A. Campomanes, Jimmy L. Dinglasan, Nelson D. Co |
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| Rok vydání: | 1995 |
| Předmět: |
Adult
Male medicine.medical_specialty Adolescent Endoscope Radio Waves medicine.medical_treatment Dacryocystorhinostomy Lacrimal apparatus medicine Humans Child Aged Aged 80 and over Endoscopes Nasolacrimal duct medicine.diagnostic_test Curette business.industry General Medicine Middle Aged Endoscopic Procedure eye diseases Endoscopy Surgery Ophthalmology Dissection medicine.anatomical_structure Female Laser Therapy sense organs business Nasolacrimal Duct |
| Zdroj: | Ophthalmic Plastic & Reconstructive Surgery. 11:54-58 |
| ISSN: | 0740-9303 |
| DOI: | 10.1097/00002341-199503000-00010 |
| Popis: | Endoscopic laser-assisted dacryocystorhinostomy (DCR) offers several advantages over standard external (SE) DCR. The technique eliminates the cutaneous scar and cosmetic blemish of an external dissection and causes less surgical trauma and bleeding than SE-DCR, with shortened postoperative recovery time and lessened postoperative pain. However, the equipment is expensive. We modified this technique using simple instruments such as the curette, Kerrison punch, Freer elevator, Storz endoscope, Ellman Surgitron unit, and the Javate DCR electrodes instead of the laser. Fifty patients with epiphora and nasolacrimal obstruction underwent surgery with our new technique. Fifty age-matched, paired external DCR were performed, and comparisons were made with the endoscopic procedure described. If preoperative epiphora was resolved and nasolacrimal patency was confirmed by lacrimal irrigation 3 months after tube removal, the operation was considered a success. The study attained a 90% success rate for endoscopic radiofrequency-assisted DCR, as compared to a 94% success rate (p > 0.05, not statistically significant) for the SE-DCR. |
| Databáze: | OpenAIRE |
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