Revision results in recurrent chronic dacryocystitis who previously underwent external DCR or diode laser DCR

Yıl 2024, Cilt: 2 Sayı: 3, 109 - 112, 30.10.2024

Betül Dertsiz Kozan , Bahadır Utlu , Günay Kozan , Gönül Karataş Durusoy

https://doi.org/10.61845/agrimedical.1496700

Öz

Aim: We aimed to evaluate our external dacryocystorhinostomy (DCR) results performed by the same surgeon using a silicone tube in patients with recurrent chronic dacryocystitis who had previously undergone external DCR or transcanalicular diode DCR and to compare them with the literature.
Material and Methods: Patients who underwent external DCR due to recurrent dacryocystitis between 2019-2022.They were divided into two groups. The first group who had previously undergone external DCR and the second group who had previously undergone transcanalicular diode laser DCR. Patients who were followed for at least 12 months in the postoperative period and who came to regular follow-up at 0, 1, 6 and 12 months were included in the study. At each examination, lavage was performed, and the passage was open. Its openness was considered as success.
Results: 40 eyes of 40 patients were included in the study. 28 of the patients were female (70%) and 12 were male (30%). The average follow-up period was 12±2 months. Nasolacrimal lavage was normal in 5 cases (25%) in the first group and 16 cases (80%) in the second group and surgical success was achieved. When the groups were compared among themselves, a statistically significant difference was found in terms of surgical success between the two groups (p<0,05).
Conclusion: The reason for the different success rates as a result of revision in DCR performed externally with diode laser is due to the better protection of the anatomical tissue after the first surgery with diode laser and less scar tissue.

Anahtar Kelimeler

Revision DCR, External DCR, Diode laser DCR

Daha önce eksternal DSR veya diod lazer DSR yapılan nüks kronik dakriyosistitlerde revizyon sonuçları

Öz

Amaç: Daha önce eksternal dakriosistorinostomi (DSR) veya transkanaliküler diod lazer DSR yapılan nüks kronik dakriosistitli hastalarda aynı cerrah tarafından silikon tüp kullanılarak yapılan eksternal DSR sonuçlarımızın değerlendirilmesi ve literatürle kıyaslanması amaçlanmıştır.
Gereç ve Yöntem: 2019-2022 yılları arasında nüks dakriosistit nedeniyle eksternal DSR yapılan hastalar incelendi. İki gruba ayrıldı. 1. grup daha önce eksternal DSR yapılan 2. grup daha önce transkanaliküler diod lazer DSR uygulanan olarak ayrıldı. Postoperatif dönemde en az 12 ay boyunca takip edilmiş olup 0., 1., 6. ve 12. ayda düzenli takibe gelen hastalar çalışmaya dahil edildi. Her kontrolde lavaj yapılarak pasajın açık olması başarı olarak kabul edildi.
Bulgular: Çalışmaya 40 hastanın 40 gözü dahil edildi. Hastaların 28’i kadın (%70), 12’si erkekti (%30). Takip süresi ortalama 12±2 ay idi. 1. grupta 5 olguda (%25), 2. grupta 16 olguda (%80) nazolakrimal lavaj açık olup cerrahi başarı elde edildi. Gruplar kendi aralarında karşılaştırıldığında her iki grup arasında cerrahi başarı açısından istatistiksel olarak anlamlı fark bulundu (p<0,05).
Sonuç: Diod lazer ile eksternal olarak yapılan DSR de revizyon sonucu başarı oranlarının farklı olmasının nedeni ilk cerrahi sonrası anatomik dokunun diod lazerle daha iyi korunmasına ve skar dokusunun az olmasına bağlıdır.

Anahtar Kelimeler

Revizyon DSR, Eksternal DSR, Diod lazer DSR

Kaynakça

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