Comparison of endonasal dacryocystorhinostomy (DCR) versus endocanalicular diode laser DCR for the treatment of nasolacrimal duct obstruction

Yıl 2014, Cilt: 4 Sayı: 3, 87 - 93, 01.09.2014

Mustafa Acar Fatih Gören Demet Yazıcı Güven Yıldırım Turhan San

https://doi.org/10.2399/jmu.2014003002

Öz

Objective: Dacryocystorhinostomy (DCR), the treatment for nasolacrimal duct obstruction, is generally performed endonasally. In this retrospective study, we compared the anatomical and functional success rate of endonasal DCR with endocanalicular diode laser DCR. Methods: Medical records of 53 patients in endonasal DCR group (Group 1) and 47 in endocanalicular diode laser DCR group (Group 2) were analyzed for preoperative syringing and probing evaluations as well as surgical details, outcomes and complications. Results: Recurrence was observed in eight patients in Group 1 and six in Group 2. Although the recurrence rates differed between the two groups, this difference was not statistically significant (p>0.05). The complications in Group 1 included eight cases of synechia and one tube protrusion, whereas the complications in Group 2 included two cases of synechia, two tube protrusions and two punctum atrophies. The presence of allergy, concha hypertrophy and septum deviation did not significantly increase the rates of recurrence or complications (p>0.05). Bleeding and pain were observed significantly more frequently in Group 1 and the patient comfort was significantly better in Group 2 (p

Anahtar Kelimeler

Complication, dacryocystorhinostomy, diode laser, endocanalicular, endonasal

Nazolakrimal kanal obstrüksiyonunun tedavisinde endonazal dakriyosistorinostomi (DSR) ve endokanaliküler diyot lazer DSR'nin karşılaştırması

Öz

Amaç: Nazolakrimal kanal obstrüksiyonunun tedavisi olarak dakriyosistorinostomi (DSR) genellikle endonazal yoldan gerçekleştirilmektedir. Bu retrospektif çalışmada endonazal DSR ile endokanaliküler diyot lazer DSR'nin anatomik ve fonksiyonel başarı oranlarını karşılaştırdık. Yöntem: Endonazal DSR grubunda 53 (Grup 1) ve endokanaliküler diyot lazer grubunda (Grup 2) 47 hastanın tıbbi kayıtları preoperatif enjeksiyon ve prob uygulamaları, cerrahi ayrıntılar, sonuçlar ve komplikasyonların değerlendirmesi açısından incelendi. Bulgular: Grup 1'de 8 ve Grup 2'de 6 hastada nüks gözlemlendi. İki grup arasında nüks oranları farklılık göstermesine karşın bu farklılık istatistiksel açıdan anlamlı değildi (p>0.05). Grup 1'deki komplikasyonlar 8 sineşi ve 1 tüp protrüzyonu, Grup 2'de ise 2 sineşi, 2 tüp protrüzyonu ve 2 punktal atrofi olgusunu içermekteydi. Alerji, konka hipertrofisi ve septum deviasyonu nüks ve komplikasyon oranlarını anlamlı derecede artırmamıştı (p>0.05). Grup 1'de kanama ve ağrı anlamlı derecede daha sık gözlenmiş olmasına rağmen Grup 2'de hasta konforu anlamlı derecede daha iyi idi (p

Anahtar Kelimeler

Komplikasyon, dakriyosistorinostomi, diyot lazeri, endokanaliküler, endonazal

Kaynakça

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• Please cite this article as: Acar M, Gören F, Yazıcı D, Yıldırım G, San T. Comparison of endonasal dacryocystorhinostomy (DCR) versus endocanalicular
• diode laser DCR for the treatment of nasolacrimal duct obstruction. J Med Updates 2014;4(3):87–93.