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

Yıl 2022, , 48 - 50, 01.08.2022

Cevat Uçar , Selim Genç

https://doi.org/10.25000/acem.1129840

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

Öz

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.

Anahtar Kelimeler

Dacryocystorhinostomy, chronic dacryostenosis, transcanalicular diod laser

Kaynakça

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