Haftalık endoskopik debridmanın endoskopik transkanaliküler diod lazer dakriyosistorinostominin başarı oranı üzerine etkisi

Öz

Amaç: Kronik dakriyostenozlu hastalarda endoskopik transkanaliküler diod lazer ile dakriyosistorinostomi sonuçlarını değerlendirmek. Yöntemler: Bu retrospektif çalışmaya 67 kronik dakriyostenozlu hastanın transkanaliküler lazer ile dakriyosistorinostomi yapılan 75 gözü dahil edildi. Ameliyat sonrası 65 hastaya nazolakrimal kanal açma ve yıkama için 1 ay boyunca her hafta transnazal endoskopik debridman yapıldı (Grup 1, 65 hasta). Postoperatif bakım yapılmayan hastalar Grup 2 (10 hasta) olarak tanımlandılar. Tüm hastalar en son 3. ayda muayene edildiler. Bulgular: 1. grupta 65 hastanın 63’ünde tam cerrahi başarı sağlandı, iki hastada restenoz gelişti. 2. grupta 10 hastanın altısında başarı sağlandı, ancak dört hastada restenoz gelişti. 1. Grupta cerrahi başarı oranı %98, 2. grupta ise %60 idi (p< 0.001). Hastaların hiçbirinde ciddi bir komplikasyon, enfeksiyon ve kanama görülmedi. Sonuç: Ameliyat sonrası transnazal endoskopik debridman yapılması transkanaliküler lazer ile dakriyosistorinostominin başarı oranını arttırabilir.

Anahtar Kelimeler

• Dakriyosistorinostomi
• kronik dakriyostenoz
• transkanaliküler diod lazer.

Influence of weekly endoscopic debridement on success rate of endoscopic transcanalicular diode laser dacryocystorhinostomy

Abstract

Aim: To evaluate the outcomes of transcanalicular diode laser DCR (TL-DCR) in patients with chronic dacryostenosis. Methods: In this retrospective study we included 75 eyes of 67 patients with chronic dacryostenosis who underwent TL-DCR. In 65 patients transnasal endoscopic debridement the opening and nasalacrimal syringing was performed every week for 1 month (Group 1, 65 patients). The later patients who did not have postoperative visits were defined as Group 2 (10 patients). All patients were examined at postoperative 3 months. Results: In group 1, 65 of 63 patients had complete surgical success and two had restenosis. In group 2, six of 10 patients had success however four had restenosis. In group 1 the surgical success rate was 98% whereas it was 60% in group 2 (p< 0.001). None of the patients had any serious complications including infection and bleeding. Conclusions: The surgical success rate of TL-DCR may increase by endoscopic debridement after the surgery.

Keywords

• Dacryocystorhinostomy
• chronic dacryostenosis
• transcanalicular diod laser

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