Surgical Results of Endoscopic  Dacryocystorhinostomy and Lacrimal Trephination  in Distal or Common Canalicular Obstruction

백병준; 황규린; 정동호; 김이석; 신재민; 이흥만

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자료유형: 학술저널

저자정보: 백병준 황규린 정동호 김이석 신재민 이흥만

저널정보: 대한이비인후과학회 Clinical and Experimental Otorhinolaryngology Clinical and Experimental Otorhinolaryngology 제5권 제2호

발행연도: 2012.1

수록면: 101 - 106 (6page)

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Objectives. To evaluate the surgical outcomes of endoscopic dacryocystorhinostomy followed by canalicular trephination and silicone stenting in patients with distal or common canalicular obstructions. Methods. The medical records of 29 patients (31 eyes) from January 2001 to December 2009 who underwent endoscopic dacryocystorhinostomy followed by canalicular trephination and silicone tube insertion for the treatment of distal or common canalicular obstructions were retrospectively reviewed. The level of obstruction was confirmed by intraoperative probing. The outcome of the surgery was categorized as a complete success, partial success, or failure according to the functional and anatomic patency. Results. The average age of the patients was 52 years. The duration of silicone intubation ranged from 4 to 11 months with an average of 5.7±1.6 months. The follow-up period after stent removal ranged from 4 to 15 months with an average of 8.2±3.3 months. Complete success was achieved in 25 out of 31 eyes (80.6%), partial success in 4 out of 31eyes (12.9%), and failure in 2 out of 31 eyes (6.5%). Conclusion. Endoscopic dacryocystorhinostomy followed by canalicular trephination and silicone stent intubation may be safe and considered as an initial treatment of patients with distal or common canalicular obstructions

#Epiphora #Canalicular obstruction #Endoscope #Dacryocystorhinostomy #Trephination #Silicone tube

참고문헌 (23)

참고문헌 신청

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