Velegrakis George A, Prokopakis Emmanuel P, Panayotaki Irene, Pagalos Aris G, Siganos Charalambos S, Helidonis Emmanuel S
Departments of Otolaryngology and Ophthalmology, University of Crete School of Medicine, Heraklion, Crete, Greece.
Am J Otolaryngol. 2002 Sep-Oct;23(5):272-6. doi: 10.1053/ajot.2002.126320.
Obstruction of the nasolacrimal duct is a serious chronic condition, treatment for which has not yet been successfully resolved. Several methods have been proposed for the management of chronic epiphora. A modified method of intranasal laser-assisted dacryocystorhinostomy with the use of a surgical microscope is described.
The procedure is a modification to the West and Veis-Claus-Guttich method. The primary and late results of this method are presented for 53 patients over the past 7 years with chronic epiphora caused by stenosis of the nasolacrimal duct. Selection criteria included chronic epiphora, nasolacrimal duct stenosis due to Down syndrome, empyema of the lacrimal sac, and recurrence from previous operations. Patients were operated on under general anesthesia.
Fifty-one patients (96.3%) were free of symptoms postoperatively (mean follow-up time, 6 months).
The simplicity of this method compared with traditional methods is correlated with excellent postoperative results and patient satisfaction.
鼻泪管阻塞是一种严重的慢性疾病，其治疗方法尚未得到成功解决。已经提出了几种治疗慢性溢泪的方法。本文描述了一种使用手术显微镜的改良鼻内激光辅助泪囊鼻腔造口术。
该手术是对韦斯特和维斯 - 克劳斯 - 古蒂希方法的改良。本文展示了过去7年中53例因鼻泪管狭窄导致慢性溢泪患者采用该方法的初期和后期结果。选择标准包括慢性溢泪、唐氏综合征导致的鼻泪管狭窄、泪囊积脓以及既往手术复发。患者在全身麻醉下接受手术。
51例患者（96.3%）术后无症状（平均随访时间为6个月）。
与传统方法相比，该方法操作简单，术后效果良好，患者满意度高。
