Aslam Muhammad Azeem, Mirza Aneequllah Baig, Butt Imran Azam
J Pak Med Assoc. 2014 Jun;64(6):619-23.
To analyse the results of Endonasal Endoscopic Dacrocystorhinostomy regarding complications and success rate.
The prospective quasi-experimental study was conducted at the Departments of Otolaryngology and Ophthalmology of Islamic International Medical College Teaching Hospital, Rawalpindi, from August 2008 to July 2012. Patients presenting with epiphora and diagnosed with chronic nasolacrimal duct obstruction were included in the study. Endonasal Endoscopic Dacrocystorhinostomy was performed under general anaesthesia. Patients were followed up for at least 6 months after the removal of dacrocystorhinostomy tube. Complications during and after the procedure were recorded.
Of the 31 patients in the study, 27 (87%) were females and 4 (13%) were males with an overall mean age of 45.7 +/- 13.4 years (range: 21-70). The duration of symptoms ranged between 6 months and 13 years (Mean: 4.1 +/- 3.2). Average duration of endoscopic dacrocystorhinostomy was 40 +/- 17.5 minutes (range: 25-70). The tube was removed 6 months after operation in 27 (87%) patients and after 3 months in 4 (13%). Complications encountered were peroperative haemorrhage in 4 (13%), ecchymosis in 2 (6%), nasal adhesions in 3 (9.6%), granulations at osteotomy site in 1 (3.2%), retrograde tube displacement in 3 (9.6%) and symblepheron in 1 (3.2%) patient. Of the total, 26 (84%) patients were symptom-free 6 months after the removal of the tube. Two (6.4%) patients underwent revision surgery and were symptom-free 6 months after the removal of the tube. Overall success rate of the procedure was 28 (90%).
Endonasal Endoscopic Dacryocystorhinostomy is an effective procedure with high success rate and minimal complications.
分析鼻内镜下泪囊鼻腔造口术的并发症及成功率。
2008年8月至2012年7月，在拉瓦尔品第伊斯兰国际医学院教学医院的耳鼻喉科和眼科进行了前瞻性准实验研究。纳入有溢泪症状且诊断为慢性鼻泪管阻塞的患者。在全身麻醉下进行鼻内镜下泪囊鼻腔造口术。拔除泪囊鼻腔造口管后，对患者进行至少6个月的随访。记录手术期间及术后的并发症。
研究中的31例患者中，女性27例（87%），男性4例（13%），总体平均年龄为45.7±13.4岁（范围：21 - 70岁）。症状持续时间在6个月至13年之间（平均：4.1±3.2年）。鼻内镜下泪囊鼻腔造口术的平均持续时间为40±17.5分钟（范围：25 - 70分钟）。27例（87%）患者在术后6个月拔除造口管，4例（13%）患者在术后3个月拔除。术中并发症包括4例（13%）术中出血、2例（6%）瘀斑、3例（9.6%）鼻腔粘连、1例（3.2%）截骨部位肉芽组织形成、3例（9.6%）造口管逆行移位和1例（3.2%）睑球粘连。总共26例（84%）患者在拔除造口管6个月后无症状。2例（6.4%）患者接受了翻修手术，拔除造口管6个月后无症状。该手术的总体成功率为28例（90%）。
鼻内镜下泪囊鼻腔造口术是一种有效的手术，成功率高且并发症少。
