Our external dacryocystrohınostomy results ın management of unsuccessful lacrimal surgery
Journal Title: Dicle Tıp Dergisi - Year 2016, Vol 43, Issue 3
Abstract
Objective: The aim of this study is to evaluate the success rate of the external dacryocystorhinostomy (EX-DSR) in recurrences of dacryostenosis after unsuccessful dacryocystorhinostomy (DSR). Methods: In this study, we retrospectively examined the data of 52 eyes of 52 patients that underwent EX-DSR due to recurrences of dacryostenosis after unsuccessful dacryocystorhinostomy (DSR) between 2013 and 2016 in our clinic. Patients were divided into three groups according to the operations performed previously. Group 1 was composed of 16 patients who were previously operated by using EX-DSR procedure. Group 2 was composed of 15 patients who were previously operated by using endonasal endoscopic dacryocystorhinostomy procedure and Group 3 was composed of 21 patients who were operated by using transcanalicular multidiod dacryocystorhinostomy procedure. The Surgical success was defined as loss of the patient’s symptoms and to provide anatomic patency after lacrimal irrigation. Results: There was no significant difference between groups in terms of demographic features (p >0.05). The follow-up duration of patients upon revision surgery was 7 to 29 months. The surgical success was obtained at 12 patients in group 1 (75%), 12 patients in group 2 (80%), and 19 patients in group 3 (90.5%) during this follow-up time period. When groups were compared to each other, it was observed that there was no significant difference between them in term of success rate (p=0.525). Conclusıon: EX-DSR is a successful surgical procedure in recurrences of dacryostenosis after unsuccessful DSR regardless from previous surgical methods. Key words: Eksternal dakriosistorinostomi, nüks dakriyostenoz, epifora
Authors and Affiliations
Hacı Sağdık, Ferdağ Sakioğlu, Mehmet Tetikoğlu, Serdar Aktaş, Fatih Özcura
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