Long Term Results of Dacryocystorhinostomy in Adults.
10.3342/kjorl-hns.2011.54.5.334
- Author:
Sung Won CHUNG
1
;
Young Jun CHUNG
;
In Sang KIM
;
Ji Hun MO
Author Information
1. Department of Otorhinolaryngology-Head and Neck Surgery, College of Medicine, Dankook University, Cheonan, Korea. jihunmo@gmail.com
- Publication Type:Original Article
- Keywords:
Dacryocystorhinostomy;
Epiphora
- MeSH:
Adult;
Dacryocystorhinostomy;
Drainage;
Eye;
Female;
Follow-Up Studies;
Humans;
Lacrimal Apparatus Diseases;
Male;
Nasolacrimal Duct;
Outcome Assessment (Health Care);
Prognosis;
Retrospective Studies
- From:Korean Journal of Otolaryngology - Head and Neck Surgery
2011;54(5):334-338
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
BACKGROUND AND OBJECTIVES: The purpose of this study was to evaluate the long-term outcome of primary endoscopic dacryocystorhinostomy (DCR) or conjunctivo-dacryocystorhinostomy (CDCR) in adults with nasolacrimal duct obstruction. SUBJECTS AND METHOD: We retrospectively reviewed 31 eyes of 27 patients who underwent primary DCR or CDCR for anatomical or functional blockage of the lacrimal drainage system (4 males, 27 females, mean age 54.4+/-12.7 years). The mean follow-up period was 45.4+/-10.8 months. The main outcome measure for success was assessed by symptomatic improvement. Pre-operative CT findings and endoscopic findings, sites of obstruction, types of surgery, post-operative complications were evaluated and the outcome was assessed according to the level of obstruction and types of surgery. RESULTS: Two years after the surgery, the success rate was 83.9% including complete resolution of symptoms (64.5%) and partial improvement (19.4%). No improvement was reported in 16.1%. There was no significant difference in success rates of DCR according to the obstruction sites. Patients with functional blockage had worse success rate than those with anatomical obstruction. CONCLUSION: Both endoscopic DCR and CDCR had successful outcome in the long term con-trol of epiphora and functional nasolacrimal duct obstruction showed worse prognosis when compared with anatomical obstruction.
