Clinical Evaluation of Endoscopic Endonasal Conjunctivodacryocystorhinostomy (CDCR) with Jones Tube Placement.
- Author:
Yong Soo HAN
1
;
Se Hyun BAEK
Author Information
1. Department of Ophthalmology, Gachon Medical School, Gil Medical Center, Incheon, Korea.
- Publication Type:Original Article
- Keywords:
Endoscopic endonasal CDCR;
Jones tube
- MeSH:
Humans;
Prolapse;
Retrospective Studies
- From:Journal of the Korean Ophthalmological Society
2004;45(8):1221-1226
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: To evaluate the efficacy of endoscopic endonasal primary conjunctivodacryocysto-rhinostomy (CDCR) and revision CDCR after primary CDCR. METHODS: Twenty patients who had undergone endoscopic endonasal CDCR with Jones tube and who were followed for over 6 months at our hospital were reviewed retrospectively. Our analysis included success rate, operation time and causes of failure. RESULTS: The indications for revision CDCR were prolapse of Jones tube and inadequate tube length. The initial success rate in the primary and revision groups was 78.6% (11/14) and 100% (6/6), respectively. Two initial failures in the primary group were later successful after revision. The mean operation time in the groups was 23.9 minutes ( +/- 6.3) and 21.7 minutes ( +/- 6.1), respectively. The main causes of failure included inaccurate tube length and abnormal tube position. CONCLUSIONS: Endoscopic endonasal CDCR appears to be a reasonable approach for revision, as well as primary, because of accurate measurement of Jones tube length during surgery and the shortened operation time.
