内镜激光辅助泪囊鼻腔造口术（DCR）并置入定制硅胶和聚四氟乙烯双泪小管支架内镜激光辅助泪囊鼻腔造口术（DCR）

Endoscopic laser-assisted dacryocistorhinostomy DCR with the placement of a customised silicone and Teflon bicanalicular stent Endoscopic laser-assisted dacryocystorhinostomy (DCR).

作者信息

D'Ecclesia A, Cocchi R F, Giordano F, Mazzilli E, Longo C, Laborante A

机构信息

Ophthalmology Unit, Hospital Casa Sollievo della Sofferenza - IRCCS, San Giovanni Rotondo (FG), Italy.

出版信息

Clin Ter. 2014;165(6):e391-4. doi: 10.7417/CT.2014.1779.

DOI:10.7417/CT.2014.1779

PMID:25524192

Abstract

INTRODUCTION

We present our experience in endoscopic laser assisted dacryocystorhinostomy (DCR) analyzing the results obtained with a new technique that involves placing bicanalicolar silicone stent more Teflon tube, in combination with paraseptal silastic sheet.

MATERIALS AND METHODS

In our study 49 of 57 patients (85%) at a mean follow up of at least 12 months have not reported epiphora or more episodes of acute dacryocystitis.

RESULTS

49 out of the 57 patients (85%) in our group reported no additional epiphora or episodes of acute dacryocystitis.

CONCLUSIONS

Endoscopic DCR is currently the gold standard for sac and post-sac stenosis given the minimal invasiveness of the procedure and the long-term results that appear comparable to those obtained with extrinsic DCR. The principal problem is cicatricial stenosis that can occlude the stoma over time.

摘要