Long Term Surgical Efficacy of Endonasal Dacryo cys torhinostomy.
- Author:
Sang Hyeok LEE
1
;
Wha Sun CHUNG
Author Information
1. Department of Ophthalmology, Yeungnam University College of Medicine.
- Publication Type:Original Article
- Keywords:
Endonasal DCR;
Long term success rate
- MeSH:
Anti-Bacterial Agents;
Bezafibrate;
Constriction, Pathologic;
Dacryocystorhinostomy;
Follow-Up Studies;
Granulation Tissue;
Ophthalmology;
Orbit;
Postoperative Complications;
Prolapse;
Silicones;
Skin;
Canaliculitis
- From:Journal of the Korean Ophthalmological Society
2000;41(2):307-313
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Primary success rate of endonasal dacryocystorhinostomy has been reported lower than that of conventional cedure. Gradual stenosis of mucosal ostium would progress until 6 to 10 months following operation and a longterm follow-up should be necessary. Endonasal dacryocystorhinostomy was performed in 100 patients[118 eyes]between July 1993 and March 1998 at the Department of Ophthalmology, Yeungnam University College of Medicine. After the follow-up period of 1 to 4 years[average 16.2 months], longterm success rate, postoperative omplications, and factors to affect success rate were studied. The success rate of primary operation was 89.83%, and the success rate after secondary revision of the ostium was up to 99.15%. Granulation tissue formation was the most common postoperative complication, and other complications included protrusion of silicone tube, membranous obstruction, partial obstruction of common canaliculus, canaliculitis and prolapse of orbital fat. Factors to obtain good success rate were careful and acurate surgical technique to achieve large mucosal ostium, postoperative management, antibiotics and steroid medication, etc. Long-term surgical efficacy of endonasal dacryocystorhinostomy was similar to skin approach and secondary success rate following revision was very satisfactory.
