Efficacy of endoscopic transnasal dacryocystorhinostomy by suture in the treatment of acute dacryocystitis as early as possible

VernacularTitle:尽早缝合法经鼻泪囊鼻腔吻合治疗急性泪囊炎的疗效观察
Author: Xiangxu QIU ; Meijun HU ; Xiangrong YE ; Rui HE ; Lingfei SHEN
Publication Type:Journal Article
Keywords: Dacryocystitis; Dacryocystorhinostomy
From: Chinese Journal of Primary Medicine and Pharmacy 2015;22(1):20-23
CountryChina
Language:Chinese
Abstract: Objective To explore the effect of endoscopic transnasal dacryocystorhinostomy(ET-DCR) by suture in the treatment of acute dacryocystitis(AD) as early as possible.Methods The clinical data of 32 patients with unilateral AD who underwent ET-DCR by suture as early as possible were retrospectively analyzed.Results All patients presented clear anatomic structure,intraoperative hemorrhage increased in 3 cases,swelling and pain was rapidly relieving in all patients in the first day of postoperation,the mean resolution time of congestion and swelling in the middle canthus was average 3 days(range 1-6 days),no spread of infection occurred,no facial scar appeared in all patients except one case of abscess rupture.Complete complaint relief in 26 cases,slight epiphora presented in 6 patients who confirmed for lacrimalduct obstruction and cured by intubation,and all ostial patency with no AD recurrences at the mean follow-up of 2 years (range 12 months-5 years).Conclusion ET-DCR by suture as early as possible can be used to cure acute dacryocystitis and it is effective safe and economy.