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The results of our external dacryocystorhinostomy performed with single flap and bicanalicular silicone tube intubation

Year 2013, Volume: 40 Issue: 3, 464 - 468, 01.09.2013
https://doi.org/10.5798/diclemedj.0921.2013.03.0311

Abstract

Objective: To assess the results of external dacryocystorhinostomy (EDSR) performed with single flap and bicanalicular silicone tube intubation (STI) surgery in our patients with nasolacrimal duct obstruction. Methods: A total of 27 EDSR with single flap + STI operations that were performed under general anesthesia on patients with nasolacrimal duct obstruction aged 7 to 72 (median 43.2) years were evaluated. Results: Five patients (18.5%) were male and 22 (81.4%) were female. All of operations were initial. Median postoperative follow up period was 20.7 ± 7.2 months (10 to 36 months). In three patients (11.1%) the passages of the eyes were closed. Of these patients, one patient (3.7%) had completely closed passage. The remaining 2 patients (7.4%) had partially closed passage. Major complication was observed in any patient during the surgery. Wound hematoma or fistula was observed during follow-up in any patient. There were no complications due to silicone tubing. As a result, patients with nasolacrimal duct obstruction in 24 of 27 (88.9%), success was achieved by ensuring a clear passage. Conclusion: External DSR with single flap + STI is a safe and effective procedure and it may be performed as an operation in patients with nasolacrimal duct obstruction

References

  • John J, Woog MD. The incidence of symptomatic acquired lacrimal outflow obstruction among residents of Olm- sted country, Minnesota, 1976–2000 (an American Oph- thalmological society thesis). Trans Am Ophthalmol Soc 2007;105:649-666.
  • Olcina Ll. Dacriocistitis. Annals d’Oftalmologia. 2007;15:192-198.
  • Jonathan J, Yanoff M, Duker SJ. Ophthalmology. Section 7:Orbital and lacrimal gland. Chapter 17: The lacrimal drainage system. Spain, Mosby comp 2004;171-178
  • Anta SM, Mateos GB, Collar CV. Dacryocystorhinostomy in adolescents and young adults. Arch Soc Esp Oftalmol 2011;86:243-246.
  • Dolman PJ. Comparison of external dacryocystorhinostomy with non-laser endonasal dacryocystorhinostomy. Ophthal- mology 2003;110:78-84.
  • Erdöl H, Akyol N, Imamoglu HI, Sözen E. Long term follow up of external dacryocystorhinostomy and the factors af- fecting its success. Orbit 2005;24:99-102.
  • Warren JF, Seiff SR, Kavanagh MC. Long-term results of external dacryocystorhinostomy. Ophthalmic Surg Lasers Imaging 2005;36:446-450.
  • Toti A. Nuovo metodo conservatore di cura radicale delle suppurazioni croniche del sacco lacrimale. Clin. Mod. Fi- renze 1904;10: 385-389.
  • Dupuy-Dutemps L, Bourguet J. Procede plastique de dacryocystorhino stomy et ses resultants. Ann Ocul J 1921;158:241-261.
  • Avasthy P, Agrawal TP. One-flap dacryocystorhinostomy. Br J Ophthalmol 1962;46:435-437.
  • Kaçaniku G, Spahiu K, Hoxha G. Anterior flaps anastomosis in external dacryocystorhinostomy. Med Arh 2011;65:32-34.
  • Türkcü F, Öner V, Taş M, et al. Anastomosis of both pos- terior and anterior flaps or only anterior flaps in external dacryocystorhinostomy. Orbit 2012;31:383-385.
  • Katuwal S, Aujla JS, Limbu B et al. External Dacryocysto- rhinostomy: Do we really need to repair the posterior flap? Orbit 2013; 32:102-106.
  • Özay Ş, Bakbak B, Önder F. Eksternal dakriyosistorinos- tomide silikon tüp entübasyonu endikasyonları. MN Oftal- moloji 2005;12:152-155.
  • Köksal M, Ünal M, Yazıcı B et al. Eksternal lakrimal cerrahide silikon tüp endikasyonları. MN Oftalmoloji 1999;2:151-155.
  • Buttanri IB, Serin D, Karslioglu S et al. The outcome of silicone intubation and tube removal in external dacryocys- torhinostomy patients with distal canalicular obstruction. Eur J Ophthalmol 2012;22:878-881.
  • Güler M, Evren Ö, Demir T ve ark. Eksternal dakriosisto- rinostomi ve bikanaliküler silikon tüp entübasyonu cerra- hisi sonuçlarımız. İnönü Üniversitesi Tıp Fakültesi Dergisi 2007;14:163-166.
  • Argın A, Duman S, Örnek F. Dakriosistorinostomide silikon entübasyonun yeri.Mersin Üniversitesi Tıp Fakültesi Der- gisi 2001;3: 281-284.
  • Ezra E, Restori M, Mannor GE, et al. Ultrasonic assessment of rhinostomy size following external dacryocystorhinos- tomy. Br J Ophthalmol 1998;82:786-789.
  • Argin A, Görür K, Ozcan C, et al. The role of larger oste- otomy in long term success in external dacryocystorhinos- tomy. J Plast Reconstr Aesthet Surg 2008;61:615-619.
  • Oba E, Gürsel O. Kronik dakriyosistitlerin tedavisinde yeni bir cerrahi yaklaşım: Endoskopik Transnazal Dakriyosisto- rinostomi. Türk Oft Gaz 1993;23:468-470.
  • Wormald PJ, Roithmann R. Endoscopic and external dac- ryocystorhinostomy (DCR) - which is better? Braz J Oto- rhinolaryngol 2012;78:2.
  • Weidenbecher M, Hosemann W, Buhr W. Endoscopic en- donasal dacryocystorhinostomy. Ann Otol Rhinol Laryn- gol. 1994;103:363-367.
  • Zilelioglu G, Tekeli O, Uğurbaş SH, et al. Results of endo- scopic endonasal non-laser dacryocystorhinostomy. Docu- menta Ophthalmologica 2002; 105: 57-62.
  • Tsirbas A, Davis G, Wormald PJ. Revision dacryocystorhi- nostomy: a comparison of endoscopic and external tech- niques. Am J Rhinol 2005;19:322-325.
  • Ben Simon GJ, Joseph J, Lee S, et al. External versus en- doscopic dacryocystorhinostomy for acquired nasolacrimal duct obstruction in a tertiary referral center. Ophthalmology 2005;112:1463-1468.
  • R. Yaycıoğlu, A. Pelit, A. Aydoğan ve ark. Silikon tüp entü- basyonu uygulanan endoskopik ve eksternal dakriyosistori- nostomi cerrahilerinin karşılaştırılması. Türkiye Klinikleri Oftalmoloji Dergisi 2004;13:199-204.
  • Derya K, Demirel S, Doganay S, et al. Endoscopic trans- canalicular diode laser dacryocystorhinostomy: is it an alternative method to conventionalexternal dacryocystorhi- nostomy. Ophthal Plast Reconstr Surg. 2013;29:15-17.
  • Yeniad B, Uludag G, Kozer-Bilgin L. Assessment of pa- tient satisfaction following external versus transcanalicular dacryocystorhinostomy with a diode laser and evaluation if change in quality of life after simultaneous bilateral surgery in patients with bilateral nasolacrimal duct obstruction. Curr Eye Res 2012;37:286-292.
  • Deka A, Saikia SP, Bhuyan SK. Combined posterior flap and anterior suspended flap dacryocystorhinostomy: A modification of external dacryocystorhinostomy. Oman J Ophthalmol 2010;3:18-20.

Eksternal dakriosistorinostomide tek flepli bikanaliküler silikon tüp entübasyonu sonuçlarımız

Year 2013, Volume: 40 Issue: 3, 464 - 468, 01.09.2013
https://doi.org/10.5798/diclemedj.0921.2013.03.0311

Abstract

Amaç: Nazolakrimal kanal tıkanıklığı olan hastalarımızda tek flep ile eksternal dakriosistorinostomi (EDSR) ve silikon tüp entübasyonu (STE) cerrahilerinin sonuçlarını değerlendirmek. Yöntemler: Yaşları 7 ile 72 (ortalama 43,3) yıl arasındaki nazolakrimal kanal tıkanıklığı olan 27 hastaya genel anestezi altında tek flep ile EDSR + STE cerrahisi yapıldı. Bulgular: Hastaların 5\'i (%18,5) erkek, 22\'si (%81,4) kadın idi. Hastaların tümü ilk defa tek flep ile EDSR+STE ameliyatı yapılacak primer hastalardı. Ameliyat sonrası hastalar ortalama 20,7 ± 7,2 ay (10-36 ) takip edildi. Takipler esnasında 3 (%11,1) hastada nüks izlendi. Bu hastaların 1\'inde (%3,7) pasaj tam kapalı idi. Kalan 2 hastanın (%7,4) pasajında kısmi tıkanıklık saptandı. Hiçbir hastada ameliyat esnasında major komplikasyona rastlanmadı. Takiplerde yara yeri hematomu ya da fistül gözlenmedi. Silikon tüpe bağlı hiçbir komplikasyon gözlenmedi. Sonuç olarak 27 nazolakrimal kanal tıkanıklığı olan hastanın 24\'ünde (%88,9) başarı sağlanarak açık bir pasaj elde edildi. Sonuç: Tek flep ile yapılan EDSR+STE cerrahisi güvenli, etkili bir yöntemdir ve nazolakrimal kanal tıkanıklıklarında başarıyla uygulanacak bir girişim olarak değerlendirilebilir.

References

  • John J, Woog MD. The incidence of symptomatic acquired lacrimal outflow obstruction among residents of Olm- sted country, Minnesota, 1976–2000 (an American Oph- thalmological society thesis). Trans Am Ophthalmol Soc 2007;105:649-666.
  • Olcina Ll. Dacriocistitis. Annals d’Oftalmologia. 2007;15:192-198.
  • Jonathan J, Yanoff M, Duker SJ. Ophthalmology. Section 7:Orbital and lacrimal gland. Chapter 17: The lacrimal drainage system. Spain, Mosby comp 2004;171-178
  • Anta SM, Mateos GB, Collar CV. Dacryocystorhinostomy in adolescents and young adults. Arch Soc Esp Oftalmol 2011;86:243-246.
  • Dolman PJ. Comparison of external dacryocystorhinostomy with non-laser endonasal dacryocystorhinostomy. Ophthal- mology 2003;110:78-84.
  • Erdöl H, Akyol N, Imamoglu HI, Sözen E. Long term follow up of external dacryocystorhinostomy and the factors af- fecting its success. Orbit 2005;24:99-102.
  • Warren JF, Seiff SR, Kavanagh MC. Long-term results of external dacryocystorhinostomy. Ophthalmic Surg Lasers Imaging 2005;36:446-450.
  • Toti A. Nuovo metodo conservatore di cura radicale delle suppurazioni croniche del sacco lacrimale. Clin. Mod. Fi- renze 1904;10: 385-389.
  • Dupuy-Dutemps L, Bourguet J. Procede plastique de dacryocystorhino stomy et ses resultants. Ann Ocul J 1921;158:241-261.
  • Avasthy P, Agrawal TP. One-flap dacryocystorhinostomy. Br J Ophthalmol 1962;46:435-437.
  • Kaçaniku G, Spahiu K, Hoxha G. Anterior flaps anastomosis in external dacryocystorhinostomy. Med Arh 2011;65:32-34.
  • Türkcü F, Öner V, Taş M, et al. Anastomosis of both pos- terior and anterior flaps or only anterior flaps in external dacryocystorhinostomy. Orbit 2012;31:383-385.
  • Katuwal S, Aujla JS, Limbu B et al. External Dacryocysto- rhinostomy: Do we really need to repair the posterior flap? Orbit 2013; 32:102-106.
  • Özay Ş, Bakbak B, Önder F. Eksternal dakriyosistorinos- tomide silikon tüp entübasyonu endikasyonları. MN Oftal- moloji 2005;12:152-155.
  • Köksal M, Ünal M, Yazıcı B et al. Eksternal lakrimal cerrahide silikon tüp endikasyonları. MN Oftalmoloji 1999;2:151-155.
  • Buttanri IB, Serin D, Karslioglu S et al. The outcome of silicone intubation and tube removal in external dacryocys- torhinostomy patients with distal canalicular obstruction. Eur J Ophthalmol 2012;22:878-881.
  • Güler M, Evren Ö, Demir T ve ark. Eksternal dakriosisto- rinostomi ve bikanaliküler silikon tüp entübasyonu cerra- hisi sonuçlarımız. İnönü Üniversitesi Tıp Fakültesi Dergisi 2007;14:163-166.
  • Argın A, Duman S, Örnek F. Dakriosistorinostomide silikon entübasyonun yeri.Mersin Üniversitesi Tıp Fakültesi Der- gisi 2001;3: 281-284.
  • Ezra E, Restori M, Mannor GE, et al. Ultrasonic assessment of rhinostomy size following external dacryocystorhinos- tomy. Br J Ophthalmol 1998;82:786-789.
  • Argin A, Görür K, Ozcan C, et al. The role of larger oste- otomy in long term success in external dacryocystorhinos- tomy. J Plast Reconstr Aesthet Surg 2008;61:615-619.
  • Oba E, Gürsel O. Kronik dakriyosistitlerin tedavisinde yeni bir cerrahi yaklaşım: Endoskopik Transnazal Dakriyosisto- rinostomi. Türk Oft Gaz 1993;23:468-470.
  • Wormald PJ, Roithmann R. Endoscopic and external dac- ryocystorhinostomy (DCR) - which is better? Braz J Oto- rhinolaryngol 2012;78:2.
  • Weidenbecher M, Hosemann W, Buhr W. Endoscopic en- donasal dacryocystorhinostomy. Ann Otol Rhinol Laryn- gol. 1994;103:363-367.
  • Zilelioglu G, Tekeli O, Uğurbaş SH, et al. Results of endo- scopic endonasal non-laser dacryocystorhinostomy. Docu- menta Ophthalmologica 2002; 105: 57-62.
  • Tsirbas A, Davis G, Wormald PJ. Revision dacryocystorhi- nostomy: a comparison of endoscopic and external tech- niques. Am J Rhinol 2005;19:322-325.
  • Ben Simon GJ, Joseph J, Lee S, et al. External versus en- doscopic dacryocystorhinostomy for acquired nasolacrimal duct obstruction in a tertiary referral center. Ophthalmology 2005;112:1463-1468.
  • R. Yaycıoğlu, A. Pelit, A. Aydoğan ve ark. Silikon tüp entü- basyonu uygulanan endoskopik ve eksternal dakriyosistori- nostomi cerrahilerinin karşılaştırılması. Türkiye Klinikleri Oftalmoloji Dergisi 2004;13:199-204.
  • Derya K, Demirel S, Doganay S, et al. Endoscopic trans- canalicular diode laser dacryocystorhinostomy: is it an alternative method to conventionalexternal dacryocystorhi- nostomy. Ophthal Plast Reconstr Surg. 2013;29:15-17.
  • Yeniad B, Uludag G, Kozer-Bilgin L. Assessment of pa- tient satisfaction following external versus transcanalicular dacryocystorhinostomy with a diode laser and evaluation if change in quality of life after simultaneous bilateral surgery in patients with bilateral nasolacrimal duct obstruction. Curr Eye Res 2012;37:286-292.
  • Deka A, Saikia SP, Bhuyan SK. Combined posterior flap and anterior suspended flap dacryocystorhinostomy: A modification of external dacryocystorhinostomy. Oman J Ophthalmol 2010;3:18-20.
There are 30 citations in total.

Details

Primary Language Turkish
Journal Section Research Articles
Authors

Çiğdem Harmancı This is me

Zeynep Çakmak This is me

Ece Kırandi This is me

Fatih Toka This is me

Publication Date September 1, 2013
Submission Date March 2, 2015
Published in Issue Year 2013 Volume: 40 Issue: 3

Cite

APA Harmancı, Ç., Çakmak, Z., Kırandi, E., Toka, F. (2013). Eksternal dakriosistorinostomide tek flepli bikanaliküler silikon tüp entübasyonu sonuçlarımız. Dicle Tıp Dergisi, 40(3), 464-468. https://doi.org/10.5798/diclemedj.0921.2013.03.0311
AMA Harmancı Ç, Çakmak Z, Kırandi E, Toka F. Eksternal dakriosistorinostomide tek flepli bikanaliküler silikon tüp entübasyonu sonuçlarımız. diclemedj. September 2013;40(3):464-468. doi:10.5798/diclemedj.0921.2013.03.0311
Chicago Harmancı, Çiğdem, Zeynep Çakmak, Ece Kırandi, and Fatih Toka. “Eksternal Dakriosistorinostomide Tek Flepli bikanaliküler Silikon tüp entübasyonu sonuçlarımız”. Dicle Tıp Dergisi 40, no. 3 (September 2013): 464-68. https://doi.org/10.5798/diclemedj.0921.2013.03.0311.
EndNote Harmancı Ç, Çakmak Z, Kırandi E, Toka F (September 1, 2013) Eksternal dakriosistorinostomide tek flepli bikanaliküler silikon tüp entübasyonu sonuçlarımız. Dicle Tıp Dergisi 40 3 464–468.
IEEE Ç. Harmancı, Z. Çakmak, E. Kırandi, and F. Toka, “Eksternal dakriosistorinostomide tek flepli bikanaliküler silikon tüp entübasyonu sonuçlarımız”, diclemedj, vol. 40, no. 3, pp. 464–468, 2013, doi: 10.5798/diclemedj.0921.2013.03.0311.
ISNAD Harmancı, Çiğdem et al. “Eksternal Dakriosistorinostomide Tek Flepli bikanaliküler Silikon tüp entübasyonu sonuçlarımız”. Dicle Tıp Dergisi 40/3 (September 2013), 464-468. https://doi.org/10.5798/diclemedj.0921.2013.03.0311.
JAMA Harmancı Ç, Çakmak Z, Kırandi E, Toka F. Eksternal dakriosistorinostomide tek flepli bikanaliküler silikon tüp entübasyonu sonuçlarımız. diclemedj. 2013;40:464–468.
MLA Harmancı, Çiğdem et al. “Eksternal Dakriosistorinostomide Tek Flepli bikanaliküler Silikon tüp entübasyonu sonuçlarımız”. Dicle Tıp Dergisi, vol. 40, no. 3, 2013, pp. 464-8, doi:10.5798/diclemedj.0921.2013.03.0311.
Vancouver Harmancı Ç, Çakmak Z, Kırandi E, Toka F. Eksternal dakriosistorinostomide tek flepli bikanaliküler silikon tüp entübasyonu sonuçlarımız. diclemedj. 2013;40(3):464-8.