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ENDOSKOPİK ENDONAZAL DAKRİYOSİSTORİNOSTOMİ VE BİKANALİKÜLER SİLİKON TÜP ENTÜBASYONU

ENDOSCOPIC ENDONASAL DACRYOCYSTORHINOSTOMY AND BICANALICULAR SILICONE TUBE INTUBATION

Journal Name:

  • Selçuk Tıp Dergisi

Publication Year:

  • 2009

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Keywords (Original Language):

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Abstract (2. Language): 
Aim: To evaluate the results of endoscopic endonasal dacryocystorhinostomy (DCR) and bicanalicular silicone tube intubation (BSTI) performed in patients with nasolacrimal canal obstructions. Methods: Endoscopic endonasal DCR combined with BSTI was applied in 43 eyes of 38 patients (bilaterally in 5 patients), and in 2 patients who were previously failed external DCR operation. All patients underwent dacryocystography before the surgery. Four patients with diagnosis of septal deviation underwent septoplasty simultaneously in the same session with endoscopic endonasal DCR with BSTI. Silicone tubes were left in place for about 6.4±2.7 months. The patency of the lacrimal passages was controlled with an evaluation of postoperative subjective symptoms and nasolacrimal lavage. Results: Follow-up period ranged from 6 to 48 months (mean 25.3±9.4 months) postoperatively. The epiphora symptom disappeared and a successful drainage could be maintained in 93.02% of primary endoscopic DCR+BSTI and 100% of revision endoscopic DSR+BSTI cases. Conclusion: The endoscopic endonasal approach may be a succesful procedure in the management of lacrimal stenosis both after failed external dacryocystorhinostomy and primary cases. If necessary additional management of intranasal pathology can be performed simultaneously.
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Abstract (Original Language): 
Amaç: Bu çalışmanın amacı endoskopik endonazal dakriyosistorinostomi (DSR) ve bikanaliküler silikon tüp entübasyonu (BSTE) yapılan olgulardaki sonuçları değerlendirmektir. Yöntem: Dakriyostenoz tanısı konan 38 olgunun 43 gözüne (5 olguda her iki göz) ve daha önce başarısız eksternal DSR operasyonu geçirmiş 2 olgunun 2 gözüne endoskopik endonazal DSR ile kombine BSTE uygulandı. Tüm olgulara ameliyat öncesi dakriyosistografi çekildi. Septal deviasyon saptanan 4 olguya endoskopik DSR ve BSTE ile beraber eş zamanlı septoplasti ameliyatı yapıldı. Silikon tüpler ortalama 6.4±2.7 ay nazolakrimal kanalda bırakıldı. Lakrimal pasajdaki açıklık hastaların postoperatif subjektif şikayetlerinin değerlendirilmesi ve nazolakrimal irrigasyon yapılarak kontrol edildi. Bulgular: Ortalama takip süresi 25.3±9.4 ay (6-48 ay) idi. Primer endoskopik DSR+BSTE yapılan olguların %93.02’sinde, revizyon endoskopik DSR+BSTE yapılan olguların ise hepsinde (%100) postoperatif dönemde epifora semptomları geriledi ve başarılı drenaj elde edildi. Sonuç: Primer lakrimal stenozlu olgularda ve başarısız eksternal DSR geçirmiş olgularda endoskopik endonazal DSR+BSTE güvenli bir teknik olarak uygulanabilir. İntranazal patolojilerin birlikteliğinde ilave cerrahi tedaviler DSR operasyonu ile eş zamanlı olarak yapılabilir.
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  • Turkish

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