SİLİKON TÜP ENTÜBASYONLU EKSTERNAL DAKRİYOSİSTORİNOSTOMİ; UZUN DÖNEM SONUÇLARI

Year 2022, Volume: 55 Issue: 3, 220 - 223, 31.12.2022

Derya Doğanay Firdevs Örnek Umay Güvenç

https://doi.org/10.20492/aeahtd.1213090

Abstract

Amaç: Nazolakrimal kanal obstrüksiyonu (NLDO) olgularda eksternal dakriosistorinostomi (EDRS) ile kombine bikanaliküler silicon tüp enbübasyonunun uzun dönem sonuçlarını sunmak.

Yöntem: Kliniğimizde Ocak 2010-Aralık 2020 tarihleri arasında eksternal dakriosistorinostomi uygulanan 169 hastanın 169 gözünün uzun dönem sonuçları retrospektif olarak değerlendirildi. Postoperatif 1. gün, 10. gün, 1. ay, 3. ay, 6. ay, 9. ay, 12. ay ve son kontrollerde hastalar değerlendirildi. Özellikle ameliyat sonrası 1. gün enfeksiyon belirtileri, silikon tüpün pozisyonu, gerginliği, yerleşimi ve epifora varlığı açısından. Ameliyattan 6 ay sonra hastaların silikon tüpleri çıkarıldı. cerrahi başarı; Hastaların semptomlarının kaybolması lakrimal drenaj açık olarak değerlendirildi.

Bulgular: Olgularımızın 102'si kadın, 67'si erkekti. Ortalama yaş standart hatası 55,48±1,36 idi. Ortalama takip standart hatamız 47,83±2,27 aydı. İki hastamızda cerrahi başarısızlık meydana geldi. Bu olgular ameliyat sırasında şiddetli kanama olan ve fleplerin zorlukla oluşturulduğu olgulardı. Bu olgularda içten yaklaşımla revizyon ameliyatları yapılmış ve her ikisinde de cerrahi başarı sağlanmıştır. Eksternal dakriyosistorinostomi ile kombine bikanaliküler silikon tüp entübasyon cerrahisi uygulanan hastalarımızda cerrahi başarı oranı ilk operasyonda %98,76, ikinci operasyonda %100 idi.

Sonuç: Bikanaliküler silikon tüp entübasyonu ile dakriyosistorinostomi ameliyatlarının uzun dönem sonuçları göz önüne alındığında nazolakrimal kanal tıkanıklığında en etkili ve başarı oranı en yüksek cerrahi yöntemdir.

Keywords

external dacryoystorhinostomy, epiphora, nasolacrimal, obstruction, silicone tube intubation.

EXTERNAL DACRIOCYSTORINOSTOMY WITH SILICONE TUBE INTUBATION; LONG TERM RESULTS

Abstract

Aim: To present the long-term results of bicanalicular silicone tube intubation combined with external dacryocystorhinostomy (EDRS) in-patient with nasolacrimal duct obstruction (NLDO)
Methods: Long-term results of 169 eyes of 169 patients who underwent external dacryocystorhinostomy between January 2010 and December 2020 in our clinic were evaluated, retrospectively. On the postoperative 1st day, 10th day, 1st month, 3rd month, 6th month, 9th month, 12th month, and last visits, the patients were evaluated. Especially on the postoperative 1st day for signs of infection, the position, tension, and placement of the silicone tube, and the presence of epiphora. Silicone tubes of the patients were removed 6 months after surgery. Surgical success; The disappearance of the patient's symptoms was evaluated as the lacrimal drainage open.
Results: 102 of our cases were female and 67 were male. The mean age-standard error was 55,48±1,36. Our average follow-up-standard error was 47,83±2,27 months. Surgical failure occurred in two of our patients. These cases were who were severe bleeding occurred during surgery and flaps were formed with difficulty. In these cases, revision surgeries were performed with an internal approach and surgical success were achieved in both of them. In our patients, who underwent bicanalicular silicone tube intubation surgery combined with external dacryocystorhinostomy, the surgical success rate was 98,76% in the first operation and 100% in the second operation.
Conclusions: Considering the long-term results of bicanalicular silicon tube intubation combined with dacryocystorhinostomy operations, it is the most effective surgical method with the highest success rate in nasolacrimal canal obstruction.

Keywords

external dacryoystorhinostomy, epiphora, nasolacrimal, obstruction, silicone tube intubation.

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