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NAZOLAKRİMAL DRENAJ SİSTEM TIKANIKLIKLARINDA ANTEGRAD TEKNİK İLE BALON KATETER DİLATASYON TEDAVİSİ

Journal Name:

  • Cerrahpaşa Tıp Dergisi

Publication Year:

  • 2002

Key Words:

Keywords (Original Language):

Author NameUniversity of AuthorFaculty of Author
Abstract (2. Language): 
The purpose of this study is to evaluate the our short-term experience with the antegrade balloon catheter dilation (BCD) to treat nasolacrimal drainage system (NLDS) obstruction in adult patients. Design.- Antegrade BCD was performed for only one side of ten patients under topical anesthesia. Obstruction of NLDS, was diagnosed by Jones I and II tests and it was graded subjectively according to Munk’s criteria The site of obstruction was demonstrated by digital substraction macrodacryocystography (DSM). Lacricath balloon catheter set was used for the procedure. Results.- Initial tecnichal and clinical success was satisfactory for 9 cases. Only in one case with common canaliculus total occlusion, the lesion could not have been crossed with the catheter. In a follow up period of 3 months, clinical success was achieved for 7 partial and 2 total obstruction cases. No serious complication was seen during the procedure. Conclusion.- We don’t know yet for the long-term recurrence rates but the short-term effectiveness of BCD with antegrade technique under topical anesthesia is satisfactory for the treatment of epiphora as an office procedure.
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Abstract (Original Language): 
Çalışmamız yetişkin hasta grubunda, NLDS tıkanıklıklarında ‘antegrad’ BKD’na ait erken dönem sonuçlarının değerlendirilmesi amacıyla planlanmıştır. Topikal anestezi altında 10 hastanın 10 NLDS’ne ‘antegrad’ BKD uygulanmıştır. NLDS tıkanıklığı tanısı Jones I-II testleri ile konulmuş ve Munk kriterlerine göre evrelendirilmiştir. Tıkanıklığın yeri DSM tekniği kulanı- larak gösterilmiştir. İşlem ‘Lacricath’ balon kateter seti kullanılarak gerçekleştirilmiştir. Sadece ortak kanalikülde total tıkanıklık izlenen 1 olguda lezyon kateter ile geçilememiştir. 3 aylık takip süresi sonunda parsiyel tıkan ıklığı olan 7 ve total tıkanıklığı olan 2 olguda klinik başarı sağlanmıştır. İşlem esnasında herhangi bir komplikasyon izlenmemiştir. Bu ön çalışmamızda ‘antegrad’ BKD kısa dönem sonuçları ile değerlendirildiğinde topikal anestezi altında uygulanabilen, güvenli ve etkin bir tekniktir. Daha geniş çalışma serileri ile uzun dönemli takip sonuçları bu yöntemin yaygınlaşmasında daha etkin rol oynayacaktır.
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  • 4
214-217
  • Turkish

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