지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2017.1
- 수록면
- 383 - 387 (5page)
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초록· 키워드
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Purpose: To analyze the features of lacrimal drainage system obstruction confirmed during external dacryocystorhinostomysurgeries and report the surgical outcomes.
Methods: We reviewed the medical records of a total of 769 cases who underwent external dacryocystorhinostomyfor primary lacrimal drainage obstruction between 2005 and 2014. Data about detailed location andextent of obstruction were collected intraoperatively. The sites of obstruction were classified into nasolacrimalduct obstruction (NLDO), common canalicular obstruction (CCO), and canalicular obstruction. Lacrimalsac mucosa and lumen were grossly inspected, and the frequency of lacrimal sac changes, such as significantinflammation or fibrosis, was analyzed in cases of CCO or canalicular obstruction. The surgical successrate was also evaluated including effect of lacrimal sac status in the CCO and canalicular obstruction groups.
Results: Of 769 cases, primary NLDO with patent canaliculi was diagnosed intraoperatively in 432 cases(56.2%), CCO in 253 (32.9%), and canalicular obstruction in 84 (10.9%). Of 253 cases with CCO, 122 (48.2%)showed clear lacrimal sac lumen, and the other 131 (51.8%) showed significant inflammation or fibrosis ofthe lacrimal sac. In cases with canalicular obstruction, 35 of 84 (41.7%) showed a clear lacrimal sac, and theother 49 cases (58.3%) cases revealed mucosal changes of the lacrimal sac. The functional success ratewas 87.5% for primary NLDO, 75.5% for CCO, and 72.6% for canalicular obstruction. In the CCO group, thefunctional success rate was lower in cases with significant lacrimal sac change (p = 0.044).
Conclusions: Even in patients with CCO or canalicular obstruction, a large number of cases have lacrimal sacchanges, and those changes were associated with lower functional success rate.
목차
등록된 정보가 없습니다.
참고문헌 (14)
참고문헌 신청
Beigi B / 2007 / Inaccuracy of diagnosis in a cohort of patients on the waiting list for dacryocystorhinostomy when the diagnosis was made by only syringing the lacrimal syst
Choung HK / 2007 / Selective non-intubation of a silicone tube in external dacryocystorhinostomy / Acta Ophthalmol Scand 85 : 329 ~ 332
Erdol H / 2005 / Long-term follow-up of external dacryocystorhinostomy and the factors affecting its success / Orbit 24 : 99 ~ 102
Huang J / 2014 / Systematic review and meta-analysis on outcomes for endoscopic versus external dacryocystorhinostomy / Orbit 33 : 81 ~ 90
Hwang SW / 2009 / Bicanalicular double silicone intubation in external dacryocystorhinostomy and canaliculoplasty for distal canalicular obstruction / Acta Ophthalmol 87 : 43
Choung HK / 2007 / Selective non-intubation of a silicone tube in external dacryocystorhinostomy / Acta Ophthalmol Scand 85 : 329 ~ 332
Erdol H / 2005 / Long-term follow-up of external dacryocystorhinostomy and the factors affecting its success / Orbit 24 : 99 ~ 102
Huang J / 2014 / Systematic review and meta-analysis on outcomes for endoscopic versus external dacryocystorhinostomy / Orbit 33 : 81 ~ 90
Hwang SW / 2009 / Bicanalicular double silicone intubation in external dacryocystorhinostomy and canaliculoplasty for distal canalicular obstruction / Acta Ophthalmol 87 : 43
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