Silbert David I, Matta Noelle S
Family Eye Group, Vision Science Department, Lancaster, PA, USA.
Orbit. 2010 Feb;29(1):25-8. doi: 10.3109/01676830903229715.
To retrospectively analyze the success rate of endoscopic dacryocystorhinostomy procedures performed by a single surgeon utilizing a novel 9mm endonasal balloon.
A retrospective clinical study was performed on 78 adult patients, 97 cases in total. All patients presented with nasolacrimal duct obstruction and underwent an endoscopic dacryocycstorhinostomy utilizing a 9 mm endonasal ballon. All patients completed follow-up from February 2003 to February 2009. Surgical success was defined as relief of epiphora and a patent surgical ostium demonstrated by free irrigation of saline through the nasolacrimal system 1 month after tube removal.
Surgical success was achieved in 89 of the 97 cases (92%) following the primary surgery. Only 3 cases had revision surgery following the primary procedure. One of the 3 was successful.
Endoscopic dacryocystorhinostomy utilizing a 9mm endonasal balloon has several advantages: it requires minimal instrumentation, does not require power drills or burrs, is quick with minimal bleeding, has a low complication rate, and a high success rate. Endoscopic balloon dacryocystorhinostomy offers a simpler endoscopic approach for the treatment of nasolacrimal duct obstruction, and is easily mastered by the Ophthalmic surgeon.
回顾性分析由单一外科医生使用新型9毫米鼻内球囊进行鼻内镜下泪囊鼻腔造口术的成功率。
对78例成年患者（共97例）进行回顾性临床研究。所有患者均表现为鼻泪管阻塞，并使用9毫米鼻内球囊进行了鼻内镜下泪囊鼻腔造口术。所有患者均完成了2003年2月至2009年2月的随访。手术成功定义为溢泪症状缓解，且在拔管后1个月通过鼻泪系统自由冲洗盐水显示手术造口通畅。
97例患者中有89例（92%）在初次手术后获得手术成功。初次手术后仅3例进行了翻修手术。其中1例成功。
使用9毫米鼻内球囊进行鼻内镜下泪囊鼻腔造口术有几个优点：所需器械最少，不需要动力钻或磨头，手术快速且出血少，并发症发生率低，成功率高。鼻内镜下球囊泪囊鼻腔造口术为鼻泪管阻塞的治疗提供了一种更简单的内镜方法，并且眼科医生很容易掌握。
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