Analysis of Recurrence after Endoscopic Dacryocystorhinostomy.
- Author:
Kyung Chul LEE
1
;
Sung Min JIN
Author Information
1. Department of Otolaryngology, Kangbuk Samsung Hospital, School of Medicine, Sungkyunkwan University, Seoul, Korea. FESS@samsung.co.kr
- Publication Type:Original Article
- Keywords:
Endoscopes;
Dacryocystorhinostomy;
Lacrimal Duct Obstruction
- MeSH:
Dacryocystorhinostomy*;
Endoscopes;
Humans;
Lacrimal Apparatus Diseases;
Lacrimal Duct Obstruction;
Recurrence*;
Retrospective Studies;
Silicones
- From:Korean Journal of Otolaryngology - Head and Neck Surgery
2003;46(6):488-490
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
BACKGROUND AND OBJECTIVES: Endoscopic intranasal dacryocystorhinostomy (DCR) has been used as a primary treatment of lacrimal obstruction and for revision of conventional dacryocystorhinostomy. The objective of this research is to look for the cause of DCR failure. MATERIALS AND METHOD: The endoscopic revision procedures were performed on 20 patients with recurrent epiphora after endoscopic DCR with anterior and posterior sac approach from 1995 to 2001. A retrospective review of 20 endoscopic revision procedures was done. RESULTS: Sixteen patients (80%) with recurrent epiphora showed granulation on intranasal opening. Most (14 of 16) began to show granulation at 6 postoperative weeks. The most common site of granulation formation was superior to intranasal opening. CONCLUSION: Because granulation formation was the most common cause of failure, it is important to extubate a silicone tube at 6 postoperative weeks.
