Surgical Outcomes of Non-endoscopic Transnasal Dacryocystorhinostomy in Buriram Hospital
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Abstract
Objective: To study the surgical results of non-endoscopic transnasal DCR in Buriram hospital from March 2005 to February 2006.
Methods: Twenty-three operations in fifteen patients' (12 women, 3 men) were included in this retrospective study. The mean age was 49.3 years (range 16-71 years; SD 16.93 years). There were 17 primary DCR, 2 revised DCR after failed external DCR and 4 revised DCR after failed non-endoscopic transnasal DCR. Success was defined as relief of symptoms and anatomical patency, which was assessed by nasolacrimal sac irrigation 6 months after the operations.
Results: The overall surgical success rate were 82.6%. In primary DCR, success rate were 76.5% and in revised DCR were 100%.
Conclusion: Non-endoscopic transnasal DCR is an alternative technique in surgical correction of lower lacrimal system obstruction. Surgical experience and careful patient selection will yield good surgical results.
Keywords: non-endoscopic transnasal DCR, external DCR, surgical outcomes
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References
2. Warren JF, Seiff SR, Kavanagh MC. Long-term results of external dacryocystorhinostomy. Ophthalmic Surg Lasers Imaging. 2005 Nov-Dec; 36(6):446-50.
3. Onerci M. Dacryocystorhinostomy. Diagnosis and treatment of nasolacrimal canal obstructions. Rhinology. 2002 Jun;40(2):49-65. Review.
4. Metson R, Woog JJ, Puliafito CA. Endoscopic laser dacryocystorhinostomy. Laryngoscope. I994;i04 (3 pt 1): 269-74.
5. Massaro BM, Gonnering RS, Harris GJ. Endonasal laser dacryocystorhinostomy. A new approach to nasolacrimal duct obstruction. Arch Ophthalmol. 1990;108:1172-6.
6. Gonnering RS, Lyon DB, Fisher JC. Endoscopic laser assisted lacrimal surgery. Am J Ophthalmol. 1991;111:152-7.
7. Patel BC, Phillips B, McLeish WM, Flaharty P, Anderson RL. Transcana-licular neodymium : YAG laser for revision of dacryocystorhinostomy. Ophthalmology. 1997;104:1191-7.
8. Woog JJ, Kennedy RH, Custer PL, et al. Endonasal dacryocystorhinostomy: a report by the American Academy of Ophthalmology. Ophthalmology. 2001;108:2369-77.
9. Nimworapun T, Khamapirud B, et al. Surgical outcomes of nasolacrimal duct obstruction in Ramathibodi hospital. Thai J Ophthalmol. 2005; 19(1):59-65.
10. Tsirbas A, Davis G, Wormald PJ. Mechanical endonasal dacryocystor-hinostomy versus external dacryocystorhinostomy. Ophthal Plast Reconstr Surg. 2004 Jan;20(1):50-6.
11. Iliff CE. A simplified dacryocystorhinostomy. Arch Ophthalmol. 1971;85:586-91.
12. Becker BB. Dacryocystorhinostomy without flaps. Ophthalmic Surg. 1988; 19:419-27.
13. Kunavisarut S, Phonglertnapagorn S. Dacryocystorhinostomy at Ramathibodi hospital. J Med Assoc Thai. I990 Jan;73:47-52.
14. Tripathi A, Lesser TH, O’Donnell NP, White S. Local anaesthetic endonasal endoscopic laser dacryocystorhinostomy: analysis of patients’ acceptability and various factors affecting the success of this procedure. Eye. 2002 Mar; 16(2): 146-9.
15. Walland MJ, Rose GE. Factors affecting the success rate of open lacrimal surgery. Br J Ophthalmol. 1994 Dec;78(12):888-91.
