Cause and Management of Patients With Failed Endonasal Dacryocystorhinostomy

백지선; 정성훈; 이정혜; 최혜선; 김성주; 장재우

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자료유형: 학술저널

저자정보: 백지선 정성훈 이정혜 최혜선 김성주 장재우

저널정보: 대한이비인후과학회 Clinical and Experimental Otorhinolaryngology Clinical and Experimental Otorhinolaryngology 제10권 제1호

발행연도: 2017.1

수록면: 85 - 90 (6page)

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Objectives. Endonasal dacryocystorhinostomy (DCR) is a well-established treatment method in patients with nasolacrimal duct obstruction. However, there are a few reports about the overall management of failed endonasal DCR. We investigated the causes and management strategies of failed endonasal DCR. Methods. This retrospective review included 61 patients (61 eyes) who had undergone revision surgery by the same surgeon after failed endonasal DCR between January 2008 and December 2012. The appropriate revision method was determined after analysis of the etiology of failure by the fluorescein dye disappearance test, nasal endoscopy, lacrimal irrigation, and probing. The criteria for success of the revision surgery were defined by the passage of fluid without resistance upon lacrimal irrigation and normalization of the tear meniscus height. Results. The mean duration between the primary endonasal DCR and revision surgery was 15.3 months. The average follow-up period after revision surgery was 12.2 months. The most common cause of endoscopic revision surgery was membranous obstruction. Endoscopic revision surgery was performed in 48 patients, while lacrimal silicone tube intubation under endoscopy was performed in 13 patients. The most common indication for lacrimal silicone tube intubation was functional epiphora. The overall success rate of the revision surgery was 89%. Conclusion. The most common cause of failed endonasal DCR was membranous obstruction. When patients with failed endonasal DCR presented at the clinic, it is important to identify the cause of the failure. Revision surgery could increase the final success rate of endonasal DCR.

#Failed Endonasal Dacryocystorhinostomy #Revision Surgery #Functional Epiphora

참고문헌 (24)

참고문헌 신청

Apuhan T / 2011 / Effect of mitomycin C on endoscopic dacryocystorhinostomy / J Craniofac Surg 22 (6) : 2057 ~ 2059

Balikoglu-Yilmaz M / 2015 / Prospective comparison of 3 dacryocystorhinostomy surgeries:external versus endoscopic versus transcanalicular multidiode laser / Ophthal Plast R

Cheng SM / 2013 / Efficacy of mitomycin C in endoscopic dacryocystorhinostomy: a systematic review and meta-analysis / PLoS One 8 (5) : e62737 ~

Choussy O / 2010 / Endoscopic revision of external dacryocystorhinostomy failure / Rhinology 48 (1) : 104 ~ 107

Derya K / 2013 / Endoscopic transcanalicular diode laser dacryocystorhinostomy : is it an alternative method to conventional external dacryocystorhinostomy? / Ophthal Plast

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