The results of our external dacryocystorhinostomy performed with single flap and bicanalicular silicone tube intubation
Journal Title: Dicle Tıp Dergisi - Year 2013, Vol 40, Issue 3
Abstract
Objective: To assess the results of external dacryocystorhinostomy (EDSR) performed with single flap and bicanalicular silicone tube intubation (STI) surgery in our patients with nasolacrimal duct obstruction. Methods: A total of 27 EDSR with single flap + STI operations that were performed under general anesthesia on patients with nasolacrimal duct obstruction aged 7 to 72 (median 43.2) years were evaluated. Results: Five patients (18.5%) were male and 22 (81.4%) were female. All of operations were initial. Median postoperative follow up period was 20.7 ± 7.2 months (10 to 36 months). In three patients (11.1%) the passages of the eyes were closed. Of these patients, one patient (3.7%) had completely closed passage. The remaining 2 patients (7.4%) had partially closed passage. Major complication was observed in any patient during the surgery. Wound hematoma or fistula was observed during follow-up in any patient. There were no complications due to silicone tubing. As a result, patients with nasolacrimal duct obstruction in 24 of 27 (88.9%), success was achieved by ensuring a clear passage. Conclusion: External DSR with single flap + STI is a safe and effective procedure and it may be performed as an operation in patients with nasolacrimal duct obstruction Key words: External dacryocystorhinostomy, single flap, silicone tube intubation
Authors and Affiliations
Çiğdem Harmancı, Zeynep Çakmak, Ece Kırandi, Fatih Toka
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