Anatomic characteristics of the lacrimal sac in the nasal cavity of recurrent dacryocystitis and its application in endoscopic dacryocystorhinostomy combined with stent implantation
10.16098/j.issn.0529-1356.2021.06.017
- Author:
Shou-Kai ZHANG
1
;
Yu-Fen GUO
1
;
Shou-Kai ZHANG
2
;
Qin LIU
3
;
Dan-Ru LIANG
4
;
Yu-Fen GUO
5
Author Information
1. The Second Clinical Medical College, Lanzhou University
2. Department of Otolaryngology Head and Neck Surgery, Gansu Provincial Hospital
3. Department of Ophthalmology, Gansu Provincial Hospital
4. Outpatient Department of Health Care for Cadres, Gansu Provincial Hospital
5. Otolaryngology-Head Neck Surgery, Lanzhou University Seconel Hospital
- Publication Type:Journal Article
- Keywords:
Anatomy;
Endoscopic dacryocystorhinostomy;
Human;
Recurrent dacryocystitis;
Stent implantation
- From:
Acta Anatomica Sinica
2021;52(6):945-949
- CountryChina
- Language:Chinese
-
Abstract:
Objective To observe the efficacy of endoscopic nasal dacryocystoma anastomosis combined with stent implantation in the treatment of chronic recurrent dacryocystitis. Methods Thirty patients (30 eyes) with chronic dacryocystitis who had relapsed after traditional endoscopic nasal dacryocystorhinostomy were hospitalized in the Department of Otolaryngology Head and Neck Surgery department of Gansu Provincial People's Hospital from January 2010 to January 2019. Nasal lacrimal anastomosis under endoscope, intraoperative combined stent implantation, 3 months after operation, the lacrimal duct stent was removed, the patient ' s tearing symptoms were observed, the lacrimal duct was flushed to determine the lacrimal duct obstruction, and the follow-up period was 12 months. Results Twelve months of follow-up to 12 months, 14 eyes of 30 patients had no complaints of tearing, tearing, and lacrimal tract flushing; The ostomy fistula was unobstructed under nasal endoscope and the fistula was not significantly reduced. There was no complaint of tears in the eyes, tears overflowed, and the lacrimal duct was flushed, but the fistula opening was reduced.; Four eyes showed granulation hyperplasia next to the fistula, which blocked the fistula again. The overall effective rate was 87%. Conclusion Endoscopic dacryocystorhinostomy combined with stent implantation is an effective method for the treatment of chronic recurrent dacryocystitis with good clinical result.
