South Clin Ist Euras. 2003; 14(3): 170-172

Nüks Olgularda Eksternal Dakriyosistorinostomi Ve Endonazal Endoskopik Dakriyosistorinostomi Ameliyatý Sonuçlarýnýn Karþýlaþtýrýlmasý

Burak Özdemir, Titap Yazýcýoðlu, Yusuf Özertürk
Dr. Lütfi Kýrdar Kartal Eðitim Ve Araþtýrma Hastanesi 2. Göz Hastalýklarý Kliniði

AMAÇ: Geçirilmiþ bir dakriyosistorinostomiden sonra hastanýn þikayetlerinin devam etmesi hasta için olduðu kadar cerrah için de büyük sorundur. Bu çalýþma baþarýsýz eksternal dakriyosistorinostomi geçirmiþ nüks dakriyostenozlu olgularda eksternal dakriyosistorinostomi (EKS-DSR) ve endonazal endoskopik dakriyosistorinostomi (END-DSR) sonuçlarýnýn karþýlaþtýrýlmasý amacýyla yapýlmýþtýr. 1999-2003 yýllarý arasýnda kliniðimizde opere edilen nüks dakriyostenozlu 17 hastaya (3 erkek, 14 kadýn) ait toplam 18 dakriyosistorinostomi çalýþmaya dahil edildi. Vakalar, EKS-DSR uygulanan 10 olgu 1. grup ve END-DSR uygulanan 8 olgu 2. grup olarak incelendi. Takiplerde cerrahi baþarý hasta þikayetleri kaydedilerek ve nazolakrimal kanal lavajý yapýlarak deðerlendirildi. Birinci gruptaki 10 (7 kadýn, 3 erkek) olgunun 7-40 ay takip sonrasýndaki cerrahi baþarýsý deðerlendirildiðinde, 7 olguda (%70) baþarýlý sonuç elde edildi. Ýkinci grupta 7 hastaya ait 8 olgu (1 hasta bilateral nüks nedeniyle bilateral endonazal endoskopik ameliyat geçirdi, 1 hastada baþarýsýz 2. EKS-DSR ameliyatýndan sonra [1. grup] üçüncü operasyon olarak END-DSR ameliyatý yapýldý) 3-12 ay takip edildi. 4 olguda (%50) baþarýlý cerrahi sonuç elde edildi. Nüks dakriyostenozlu olgularda eksternal yaklaþýmýn cerrahi baþarýsý daha yüksek bulunmuþtur.
YÖNTEMLER:
BULGULAR:
SONUÇ:

Anahtar Kelimeler: Eksternal dakriyosistorinostomi, endoskopik dakriyosistorinostomi, nüks dakriyostenoz

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Comparison Of External Dacryocystorhinostomy And Endonasal Endoscopic Dacryocystorhinostomy In Management Of Unsuccessful Lacrimal Surgery

Burak Özdemir, Titap Yazýcýoðlu, Yusuf Özertürk
Dr. Lütfi Kýrdar Kartal Eðitim Ve Araþtýrma Hastanesi 2. Göz Hastalýklarý Kliniði

OBJECTIVE: Recurrent epiphora occuring after a dacryocystorhinostomy operation is an unwanted problem. This study was presented to compare the surgical success rates of external dacryocystorhinostomy (EXT-DCR) and endonasal dacryocystorhinostomy (END-DCR) in management of unsuccessful lacrimal surgery. The results of a total of 18 cases in 17 patients (3 males, 14 females) that were operated between 1999-2003 were reviwed in this retrospective study. Patients were analysed as 10 cases in the first group who underwent EXT-DCR as revision surgery and 8 cases in second group who underwent END-DCR operation. The surgical success rates were evaluated with absence of symptoms and results of lacrimal irrigation. In the first group, the success rates of 10 cases (3 males, 7 females) were evaluated after 7-40 months follow-up period. 7 of cases were successful (70%) in this group. In the second group, the success rates of 8 cases in 7 patients (one patient underwent bilateral END-DCR and one patient underwent END-DCR as third operation after a second unsuccessful EXT-DCR [first group]) were evaluated after 3-12 months follow-up period. Five cases were successful (50%) in this group. The EXT-DCR revealed superior outcomes when compared with END-DCR in recurrent dacryostenosis.
METHODS:
RESULTS:
CONCLUSION:

Keywords: External dacryocystorhinostomy, endonasal dacryocystorhinostomy, recurrent epiphora

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ATIF KOPYALA