Endoscopic transnasal dacryocystorhinostomy

Chia Hung Lee, Fei Peng Lee, Chia Ming Liu, Kai Nan Lin, Hung Meng Huang

研究成果: 雜誌貢獻文章

摘要

Objectives: To improve the success rate and reduce the morbidity associated with the external approach to dacryocystorhinostomy (DCR), we adopted endoscopic transnasal DCR (ETDCR) for the treatment of epiphora and studied its efficacy. Materials and Methods: From January 2000 to December 2001, 16 patients with epiphora due to nasolacrimal duct obstruction were referred to our department for ETDCR. Eleven of the patients had bilateral obstruction and five had unilateral obstruction (27 eyes total). Under 4-mm, 30° nasoendoscopic guidance, a circumlinear mucosal incision was made 1 cm superior and anterior to the attachment of middle turbinate, extending downward along the maxillary line. Then, a Stammberger-Saches intranasal drill and a 15° curved intranasal drill were used to remove a piece of the lacrimal bone and maxillary frontal process to expose the lacrimal sac. A Silastic stent was then implanted and left for at least 6 months. Transnasal endoscopic follow-up was performed once every 2 week for the first month after stent placement and then once per month for 6 months. Results: Symptomatic improvement was categorized into four categories 6 months after surgery. Twenty-two (82%) eyes had excellent and four (14%) showed good improvement in symptoms. One (4%) eye was unchanged. The only complication was mild ecchymosis of the medial canthus area (12/27 eyes). Conclusion: We recommend ETDCR as an alternative to external DCR. It has many advantages, such as shortened surgical time, minimal bleeding and preservation of orbicularis oculi muscle function. It is suitable for surgeons well trained in endoscopic sinus surgery.

原文英語
頁(從 - 到)91-95
頁數5
期刊Tzu Chi Medical Journal
15
發行號2
出版狀態已發佈 - 四月 2003

指紋

Dacryocystorhinostomy
Nasolacrimal Duct
Lacrimal Apparatus Diseases
Mandrillus
Stents
Ecchymosis
Frontal Bone
Turbinates
Lacrimal Apparatus
Maxilla
Operative Time
Tears
Hemorrhage
Morbidity
Muscles

ASJC Scopus subject areas

  • Medicine(all)

引用此文

Lee, C. H., Lee, F. P., Liu, C. M., Lin, K. N., & Huang, H. M. (2003). Endoscopic transnasal dacryocystorhinostomy. Tzu Chi Medical Journal, 15(2), 91-95.

Endoscopic transnasal dacryocystorhinostomy. / Lee, Chia Hung; Lee, Fei Peng; Liu, Chia Ming; Lin, Kai Nan; Huang, Hung Meng.

於: Tzu Chi Medical Journal, 卷 15, 編號 2, 04.2003, p. 91-95.

研究成果: 雜誌貢獻文章

Lee, CH, Lee, FP, Liu, CM, Lin, KN & Huang, HM 2003, 'Endoscopic transnasal dacryocystorhinostomy', Tzu Chi Medical Journal, 卷 15, 編號 2, 頁 91-95.
Lee CH, Lee FP, Liu CM, Lin KN, Huang HM. Endoscopic transnasal dacryocystorhinostomy. Tzu Chi Medical Journal. 2003 4月;15(2):91-95.
Lee, Chia Hung ; Lee, Fei Peng ; Liu, Chia Ming ; Lin, Kai Nan ; Huang, Hung Meng. / Endoscopic transnasal dacryocystorhinostomy. 於: Tzu Chi Medical Journal. 2003 ; 卷 15, 編號 2. 頁 91-95.
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abstract = "Objectives: To improve the success rate and reduce the morbidity associated with the external approach to dacryocystorhinostomy (DCR), we adopted endoscopic transnasal DCR (ETDCR) for the treatment of epiphora and studied its efficacy. Materials and Methods: From January 2000 to December 2001, 16 patients with epiphora due to nasolacrimal duct obstruction were referred to our department for ETDCR. Eleven of the patients had bilateral obstruction and five had unilateral obstruction (27 eyes total). Under 4-mm, 30° nasoendoscopic guidance, a circumlinear mucosal incision was made 1 cm superior and anterior to the attachment of middle turbinate, extending downward along the maxillary line. Then, a Stammberger-Saches intranasal drill and a 15° curved intranasal drill were used to remove a piece of the lacrimal bone and maxillary frontal process to expose the lacrimal sac. A Silastic stent was then implanted and left for at least 6 months. Transnasal endoscopic follow-up was performed once every 2 week for the first month after stent placement and then once per month for 6 months. Results: Symptomatic improvement was categorized into four categories 6 months after surgery. Twenty-two (82{\%}) eyes had excellent and four (14{\%}) showed good improvement in symptoms. One (4{\%}) eye was unchanged. The only complication was mild ecchymosis of the medial canthus area (12/27 eyes). Conclusion: We recommend ETDCR as an alternative to external DCR. It has many advantages, such as shortened surgical time, minimal bleeding and preservation of orbicularis oculi muscle function. It is suitable for surgeons well trained in endoscopic sinus surgery.",
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