Endoscopic transnasal dacryocystorhinostomy and bicanalicular silicone tube intubation

被引:19
|
作者
Apaydin, KC
Fisenk, F
Karayalcin, B
Akar, Y [1 ]
Saka, O
机构
[1] Akdeniz Univ, Sch Med, Dept Ophthalmol, TR-07070 Antalya, Turkey
[2] Akdeniz Univ, Sch Med, Dept Ear Nose & Throat Dis, TR-07070 Antalya, Turkey
[3] Akdeniz Univ, Sch Med, Dept Nucl Med, TR-07070 Antalya, Turkey
[4] Akdeniz Univ, Sch Med, Dept Med Biostat, TR-07070 Antalya, Turkey
关键词
transnasal dacryocystorhinostomy; silicone tube; dacryoscintigraphy;
D O I
10.1159/000079471
中图分类号
R77 [眼科学];
学科分类号
100212 ;
摘要
Purpose: To evaluate the results of endoscopic transnasal dacryocystorhinostomy (ETDCR) combined with bicanalicular silicone tube intubation (BSTI) performed in 49 patients with nasolacrimal canal obstructions secondary to chronic dacryocystitis. Material and Methods: ETDCR combined with BSTI was applied as a primary procedure in 47 cases, and as a secondary procedure in 2 cases. All patients underwent dacryocystography, and 41 patients underwent radionuclide dacryoscintigraphy before the surgery. Silicone tubes were left in place for about 6.2 months. The patency of the lacrimal passages was controlled with a clinical examination, nasolacrimal canal lavage, and dacryoscintigraphy. Results: Patients were followed up for a mean period of 25.1 months after the removal of the tubes. The epiphora symptom disappeared and a successful drainage could be maintained in 43 out of 49 cases (87.7%). The obstruction rate found in the dacryoscintigraphy performed 15 days after extubation was 22.9%, while it was found to be 14.2% in the nasolacrimal canal lavage. Conclusion: ETDCR combined with BSTI proved to be an effective surgical method in chronic dacryocystitis. The sensitivity and specificity of the postoperative dacryoscintigraphy in determining the surgical success were lower than those of the nasolacrimal canal lavage. Copyright (C) 2004 S. Karger AG, Basel.
引用
收藏
页码:306 / 311
页数:6
相关论文
共 50 条
  • [1] Comparison of Endoscopic Dacryocystorhinostomy Outcomes With or Without Bicanalicular Silicone Tube Intubation in Acquired Lacrimal Sac Mucocele
    Lan, Shan
    Yu, Jinqiang
    Ke, Feng
    Li, Dekun
    Liu, Zhenkai
    [J]. JOURNAL OF CRANIOFACIAL SURGERY, 2023, 34 (07) : E671 - E675
  • [2] Comparison of the surgical outcomes of endoscopic dacryocystorhinostomy in chronic dacryocystitis with or without previous bicanalicular silicone tube intubation
    Ma, Yingjie
    Wang, Zhuowei
    Zhou, Guangming
    Wang, Yanan
    Dong, Bin
    Wu, Wencan
    Yu, Bo
    [J]. AMERICAN JOURNAL OF OTOLARYNGOLOGY, 2024, 45 (02)
  • [3] Endoscopic dacryocystorhinostomy with bicanalicular silicone tube intubation for treating chronic dacryocystitis secondary to nasolacrimal duct stent incarceration
    Shan Lan
    Jin-Qiang Yu
    Feng Ke
    De-Kun Li
    Bo Yu
    Zhen-Kai Liu
    [J]. International Journal of Ophthalmology, 2023, (08) : 1218 - 1223
  • [4] Endoscopic dacryocystorhinostomy with bicanalicular silicone tube intubation for treating chronic dacryocystitis secondary to nasolacrimal duct stent incarceration
    Lan, Shan
    Yu, Jin-Qiang
    Ke, Feng
    Li, De-Kun
    Yu, Bo
    Liu, Zhen-Kai
    [J]. INTERNATIONAL JOURNAL OF OPHTHALMOLOGY, 2023, 16 (08) : 1218 - 1223
  • [5] Use of a retinal sponge for silicone tube fixation after bicanalicular lacrimal intubation or dacryocystorhinostomy
    Teo, Livia
    Bleier, Benjamin
    Lim, Laurence
    Freitag, Suzanne
    [J]. ORBIT-AN INTERNATIONAL JOURNAL ON ORBITAL DISORDERS AND FACIAL RECONSTRUCTIVE SURGERY, 2016, 35 (02): : 97 - 97
  • [6] Does Bicanalicular Intubation Improve the Outcome of Endoscopic Dacryocystorhinostomy?
    Matousek, Petr
    Lubojacky, Jakub
    Masarova, Michaela
    Cabalova, Lenka
    Cervenka, Stanislav
    Kominek, Pavel
    [J]. JOURNAL OF CLINICAL MEDICINE, 2022, 11 (18)
  • [7] Outcome of External Dacryocystorhinostomy with Bicanalicular Silicone Tube Stenting
    Nuhoglu, Fadime
    Sarici, Kubra
    Ozdemir, Fatma Esin
    [J]. JOURNAL OF ACADEMIC RESEARCH IN MEDICINE-JAREM, 2014, 4 (03): : 88 - 92
  • [8] Endoscopic dacryocystorhinostomy with and without bicanalicular silicone tube in patients with a small lacrimal sac: a comparative study
    Yu, Bo
    Mao, Bangxun
    Tu, Yunhai
    Wang, Mingling
    Wu, Wencan
    [J]. RHINOLOGY, 2024, 62 (05) : 623 - 630
  • [9] Outcomes of revision external dacryocystorhinostomy and nasal intubation by bicanalicular silicone tubing under endonasal endoscopic guidance
    Ari, Seyhmus
    Cingu, Abdullah Kursat
    Sahin, Alparslan
    Gun, Ramazan
    Kinis, Vefa
    Caca, Ihsan
    [J]. INTERNATIONAL JOURNAL OF OPHTHALMOLOGY, 2012, 5 (02) : 238 - 241
  • [10] Outcomes of revision external dacryocystorhinostomy and nasal intubation by bicanalicular silicone tubing under endonasal endoscopic guidance
    Seyhmus Ari
    Abdullah Kürsat Cingü
    Alparslan Sahin
    Ramazan Gün
    Vefa Kinis
    ihsan aa
    [J]. International Journal of Ophthalmology, 2012, (02) : 238 - 241