Başarısız endoskopik dakriyosistorinostominin gözden geçirilmesi

Yıl 2017, Cilt: 27 Sayı: 1, 21 - 24, 05.03.2017

İbrahim Çukurova Suphi Bulğurcu İlker Burak Arslan

Öz

Amaç: Bu çalışmada revizyon cerrahisi yapılan hastalarda dakriyosistorinostominin başarısız olmasının nedenleri araştırıldı.Hastalar ve Yöntemler: Ocak 2010 - Ocak 2016 tarihleri arasında revizyon endoskopik dakriyosistorinostomi yapılan toplam 48 hasta 31 kadın, 17 erkek; ort. yaş 39.8±14.2 yıl; dağılım 23-55 yıl geriye dönük olarak incelendi. Revizyon cerrahisinin nedenleri, hastaların ilk ameliyatlarında uygulanan dakriyosistorinostomi yöntemleri ve ilk ameliyatlarında saptanan ek patolojileri kaydedildi.Bulgular: Başarısız olan endoskopik dakriyosistorinostomi ameliyatların çok az farkla guj-çekiç ile yapılanlar olduğu p>0.05 ve arasında en sık revizyon nedeninin yeterli açılmamış kemik pencere olduğu saptandı p0.05 .Sonuç: Çalışma sonuçlarımız endoskopik dakriyosistorinostomide kemik pencere açılmasında kullanılan aletten daha çok, yeterli genişlikte açılmış kemik pencerenin önemli olduğunu göstermektedir. Ayrıca başarı oranını düşürebileceği için, septoplastinin endoskopik dakriyosistorinostomi ile aynı seansta uygulanmamasını öneririz

Anahtar Kelimeler

Dakriyosistorinostomi, endoskopik, revizyon

Revisiting unsuccessful endoscopic dacryocystorhinostomy

Öz

Objectives: This study aims to investigate the reasons for failed dacryocystorhinostomy in patients who underwent revision surgery. Patients and Methods: A total of 48 patients 31 females, 17 males; mean age 39.8±14.2 year; range 23 to 55 years who underwent revision endoscopic dacryocystorhinostomy between January 2010 and January 2016 were retrospectively analyzed. The reasons for revision surgery, dacryocystorhinostomy methods in the initial operations, and additional pathologies in the initial operations were recorded. Results: We found that failed endoscopic dacryocystorhinostomy operations were those with chisel-hammer with a slight difference p>0.05 and the most common reason for revision was inadequate bone window opening p<0.05 . Application of septoplasty operation in the same session with endoscopic dacryocystorhinostomy also reduced the success rate p>0.05 . Conclusion: Our study results that adequate bone window opening is more important than the instrument which is used for opening bone window in endoscopic dacryocystorhinostomy. In addition, we suggest that septoplasty should not be applied in the same session with endoscopic dacryocystorhinostomy, as it can reduce the success rate.

Anahtar Kelimeler

Dacryocystorhinostomy, endoscopic, revision

Kaynakça

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