Compared outcomes of using histoacryl and tube insertion for endoscopic endonasal dacryocystorhinostomy surgery
- VernacularTitle:Дурангаар хийгдэх дакриоцисториностомийн үед нулимсны замд силикон гуурс суулгах болон хистоакрил цавуу хэрэглэсэн үр дүн
- Author:
Ariunbold T
1
;
Yen Chang Chu
2
Author Information
1. Orbita Eye Hospital
2. Chang Gung Memorial Hospital
- Publication Type:Journal Article
- Keywords:
dacryocystitis;
lacrimal sac;
nasal flap;
silicone tube;
tissue glue
- From:Innovation
2021;14(1-Ophthalmology):10-13
- CountryMongolia
- Language:Mongolian
-
Abstract:
Background:Dacryocystorhinostomy (DCR) is a surgical treatment for site of obstruction in
the nasolacrimal duct system [1]. This surgery is performed in cases of congenital nasolacrimal
obstruction, partial and complete occlusion of the nasolacrimal duct in adults, chronic tearing
disorders, ineffective probing treatment and placement of a silicone tube in the nasolacrimal
system [2,3]. the present findings indicate that preservation of lacrimal sac flaps with end-to-end
anastomosis to the nasal mucosa using histoacryl has a positive impact on surgical outcome in
patients undergoing endonasal endoscopic dacryocystorhinostomy [4]. Histoacryl glue is one of
the most commonly surgical materials used recently. The basis of our study is the lack of research
on the use of this glue in the practice of oculoplastic and reconstructive surgery.
Purpose:The purpose of this study to comparing outcomes of surgical methods of histoacryl glue
and silicone tube during endoscopic endonasal dacryocystorhinostomy.
Methods:Retrospective, case series study. The study included 83 patients who underwent
endonasal endoscopic dacryocystorhinostomy between January 2017 to June 2020. Whole
case was divided into two groups. In group 1, an anastomosis was made during surgery by
using histoacryl glue to the posterior wall of the lacrimal sac and the wall formed by the nasal
mucosa [5]. In group 2, a silicone tube was placed in the nasolacrimal duct during endonasal
dacryocystorhinostomy and the results were evaluated in the 1st, 3rd, 6th, and 12th months after
surgery. Statistical calculations were performed using SPSS software.
Results:The age of the whole cases was between 17 and 82 years. There were no significant
difference among the age groups. In terms of gender, n=48 (78.7%) were female and n=13
(21.3%) were male, indicating that dacryocystitis was predominant in women. Study reports no
significant difference in intraoperative and postoperative complication. The surgical success rate
was significantly higher in histoacryl group 94.9%, than silicone tube group 79.5%. Recurrent cases
n=2 (5.1%) in group 1 and n=9 (20.4%) in group 2 respectively.
Conclusion:Histoacryl glue is highly effective, commodity, inexpensive and easy to apply
during endonasal endoscopic dacryocystorhinostomy surgery.
- Full text:InnoOpht-2021-14(1);10-13.pdf
