Eksternal Dakriosistorinostomi ve Bikanaliküler Silikon Tüp Entübasyonu Cerrahisi Sonuçlarımız
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Dosyalar
Tarih
2007
Yazarlar
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
İnönü Üniversitesi Tıp Fakültesi Dergisi
Erişim Hakkı
Attribution 3.0 United States
Özet
Edinsel nazolakrimal kanal tıkanıklığı olan hastalarımızda eksternal dakriosistorinostomi ve silikon tüp entübasyonu (EDSR+STE) cerrahilerinin sonuçlarını değerlendirmek.
Gereç ve Yöntem: Yaşları 9 ile 62 (ortalama 36,9) arasındaki edinsel nazolakrimal kanal tıkanıklığı olan 74 hastaya genel anestezi altında yapılan toplam 80 EDSR+ STE cerrahisi retrospektif olarak değerlendirildi.
Bulgular: On üç hasta (%17,5) erkek, 61 (%82,5) hasta kadın idi. Seksen cerrahinin 79’ u ilk girişimdi ve bu cerrahilerden 73’ünde (%91,25) açık pasaj elde edildi. Cerrahi sonrası ortalama takip süresi 7,4 ay (3-32 ay) idi. Bir (%1,25) müdahale başka bir merkezde ameliyat olan hastanın komplikasyonunu düzeltmek amacıyla yapıldı ve bu hastada da açık pasaj edinildi. Altı (%7,5) gözde pasaj kapandı. Elli yaşından genç olan 4 hasta tekrar ameliyat edildi ve bunların 2’ (%50) sinde yeniden açık pasaj edinildi. Sonuç olarak 80 nazolakrimal kanal tıkanıklığının 76’ (%95) sında pasaj açık idi. Bir (%1,25) gözde cilt fistülü gelişti ve başarıyla onarıldı. Beş (%6,25) gözde punktum erozyonu izlendi. En önemli erken şikayet epistaksis 9 (%11,25) cerrahide izlendi.
Sonuç: Eksternal DSR+STE cerrahisi güvenli, etkili bir yöntemdir ve edinsel nazolakrimal kanal tıkanıklıklarında ilk girişim olarak uygulanabilir.
To assess the results of external dacryocystorhinostomy and bicanalicular silicone tube intubation (EDSR+STI) operations in our patients with acquired nasolacrimal duct obstruction. Materials and Methods: A total of 80 EDSR+STI operations that were performed under general anaesthesia on 74 patients with acquired nasolacrimal duct obstruction aged 9 to 62 (median 36,9) were evaluated retrospectively. Results: Thirteen patients (17,5%) were male and 61 (82,5%) were female. Seventy-nine of the 80 operations were initial procedures and in these procedures 73 (91,25%) open passages were obtained. Median postoperative follow-up period was 7,4 months (3 to 32 months). One (1,25%) procedure was made for restoration of a complication of a patient who was operated in a different center and in this patient open passage was obtained as well. In six patients (7,5%) eyes passages were closed. Four of these patients who were younger than 50 years old were reoperated and in two of them (50%) open passages re-obtained. Overall in 76 (95%) of the 80 nasolacrimal duct obstruction the passages were open. In one (1,25%) eye cutaneous fistula was developed and was repaired successfully. In five (6,25%) eyes punctum erosion were observed. The most important postoperative early complaint epistaxis was seen in nine (11,25%) procedures. Conclusion: External DSR+STI is a safe and effective procedure and it may be performed as an initial operation in patients with acquired nasolacrimal duct obstruction
To assess the results of external dacryocystorhinostomy and bicanalicular silicone tube intubation (EDSR+STI) operations in our patients with acquired nasolacrimal duct obstruction. Materials and Methods: A total of 80 EDSR+STI operations that were performed under general anaesthesia on 74 patients with acquired nasolacrimal duct obstruction aged 9 to 62 (median 36,9) were evaluated retrospectively. Results: Thirteen patients (17,5%) were male and 61 (82,5%) were female. Seventy-nine of the 80 operations were initial procedures and in these procedures 73 (91,25%) open passages were obtained. Median postoperative follow-up period was 7,4 months (3 to 32 months). One (1,25%) procedure was made for restoration of a complication of a patient who was operated in a different center and in this patient open passage was obtained as well. In six patients (7,5%) eyes passages were closed. Four of these patients who were younger than 50 years old were reoperated and in two of them (50%) open passages re-obtained. Overall in 76 (95%) of the 80 nasolacrimal duct obstruction the passages were open. In one (1,25%) eye cutaneous fistula was developed and was repaired successfully. In five (6,25%) eyes punctum erosion were observed. The most important postoperative early complaint epistaxis was seen in nine (11,25%) procedures. Conclusion: External DSR+STI is a safe and effective procedure and it may be performed as an initial operation in patients with acquired nasolacrimal duct obstruction
Açıklama
İnönü Üniversitesi Tıp Fakültesi Dergisi
14(3) 163-166 (2007)
Anahtar Kelimeler
Eksternal Dakriosistorinostomi, Silikon tüp entübasyonu, External dacryocystorhinostomy, Silicone tube intubation
Kaynak
WoS Q Değeri
Scopus Q Değeri
Cilt
Sayı
Künye
Güler, Mete ;Evren, Özge ; Demir, Tamer ;Kurt, Jülide ;İnönü Üniversitesi Tıp Fakültesi Dergisi 14(3) 163-166 (2007)
