Lilavati Hospital, Holy Family Hospital and Tata Memorial Hospital, Mumbai, India.
Otolaryngol Head Neck Surg. 2012 Aug;147(2):335-7. doi: 10.1177/0194599812446679. Epub 2012 May 2.
This is a case series with chart review from 1997 to 2010 to determine results of endoscopic dacryocystorhinostomy in children. Thirty-seven children underwent removal of the medial wall (RMW) of the lacrimal sac (LS) and 2 had lacrimal stents inserted because they had external fistulae and small cicatrized LS. Parameters of success were (1) resolution of epiphora, (2) no further attacks of dacryocystitis, and (3) patency of neofistula. Of the 37 (95%) children who had RMW of the LS, 34 (92%) were patent after 12 weeks and were considered successful. Three (8%) neofistulae obstructed within 2 weeks and needed revision, and 2 (5%) patients had small cicatrized LS along with fistula and were stented. The fistulae closed down in 4 weeks. However, when the stents were removed 6 weeks later, epiphora returned. The authors' experience reveals that removal of the medial wall of the LS is effective in stopping chronic epiphora.
这是一项从 1997 年到 2010 年的病例系列和图表回顾研究，旨在确定儿童内镜下鼻腔泪囊吻合术的结果。37 例患儿行泪囊内侧壁（RMW）切除术，2 例因有外部瘘管和小的瘢痕化泪囊而插入泪道支架。成功的标准为：（1）溢泪缓解，（2）无复发性泪囊炎发作，以及（3）新瘘道通畅。在接受 RMW 治疗的 37 例（95%）患儿中，34 例（92%）在 12 周后通畅，被认为是成功的。3 例（8%）新瘘道在 2 周内阻塞，需要修正，2 例（5%）患儿存在瘘管和小瘢痕化泪囊，需置管。瘘管在 4 周内关闭。然而，6 周后取出支架时，溢泪又出现了。作者的经验表明，切除泪囊内侧壁可以有效阻止慢性溢泪。
