External dacryocystorhinostomy: Single flap or double flaps anastomosis

Öz

Objective: To compare the the results of external dacryocystorhinostomy using double flaps anastomosis and single flaps anastomosis Methods: Fifty-one eyes of 48 consecutive patients with complain epiphora and chronic dacryocystitis who had undergone external dacryocystorhinostomy from October 2009 to January 2012 were included. Single flap anastomosis were performed on 26 eyes of 26 patients and double flaps anastomosis were performed on 25 eyes of 22 patients and reviewed surgical success rate. Results: Silicon tube intubations were performed on 13 eyes with single flaps anastomosis and 20 eyes with double flaps anastomosis. The mean length of follow-up was 16.2±1.3 months for single flaps anastomosis group and 18.1±2.1 months for double flaps anastomosis group. Success rates in single flap anastomosis group and double flaps anastomosis group were 92.4% and 96%, respectively. There was no statistically significant difference in success rate between the groups (p=0.088). Conclusion: Single flap and double flap anastomosis gave similar outcome in external dacryocystorhinostomy surgery.

Anahtar Kelimeler

• External dacryocystorhinostomy, single flap, double flaps

Eksternal dakriyosistorinostomi: Tek veya çift flep anastomozu

Öz

Amaç: Eksternal dakriosistorinostomide (DSR) tek flep ve çift flep sonuçlarını karşılaştırmak Yöntemler: Kliniğimizde Ekim 2009-Ocak 2012 tarihleri arasında epifora ve kronik dakriosistit nedeniyle eksternal DSR yapılan 48 hastanın 51 gözü retrospektif olarak değerlendirildi. Yirmi altı hastanın 26 gözüne tek flep , 22 hastanın 25 gözüne çift flep anastomozlu eksternal DSR ameliyatı uygulanarak 1., 3., 6., ve 12. aylarda kontrol muayeneleri yapıldı. Cerrahi başarı, hastanın semptomlarının kaybolması ve lakrimal drenaj sistemin açık olması olarak değerlendirildi. Bulgular: Tek flep uygulanan 13 göze, çift flep uygulanan 20 göze silikon tüp takıldı. Tek flep uygulanan hastaların ortalama takip süresi 16,2±1,38 ay, çift flep uygulanan hastaların ortalama takip süresi 18,1±2,1 aydır. Tek ve çift flep uygulanan guruplarda cerrahi başarı sırasıyla %92,4 ve %96\'dır. Gruplar arasında cerrahi başarı açısından istatistiksel olarak fark saptanmadı (p= 0,088). Sonuç: Eksternal dakriyosistorinostomi tedavisinde uygulanan tek veya çift flep anastomozu arasında cerrahi başarı benzer bulundu.

Anahtar Kelimeler

• Eksternal dakriosistorinostomi, tek flep, çift flep

Kaynakça

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