Chisty Naja, Singh Manpreet, Ali Mohammad Javed, Naik Milind N
Rocky Vista University College of Osteopathic Medicine, Parker, Colorado, U.S.A.
Dacryology Service, L.V. Prasad Eye Institute, Hyderabad, India.
Laryngoscope. 2016 Mar;126(3):551-3. doi: 10.1002/lary.25380. Epub 2015 May 21.
OBJECTIVES/HYPOTHESIS: Endoscopic dacryocystorhinostomy (DCR) is rapidly gaining recognition as a primary modality of management in acute dacryocystitis and lacrimal abscess. The purpose of the present study is to report long-term outcomes of powered endoscopic DCR in cases of acute dacryocystitis.
Prospective interventional case series.
Twenty-one powered endoscopic DCRs were performed in 21 patients presenting with acute dacryocystitis. All cases were operated by a single surgeon (m.j.a.) using earlier published techniques. All lacrimal systems were intubated for 6 weeks. A minimum follow-up of 1 year after stent removal was considered for final analysis. Main outcome measures were the anatomical and functional success of the surgical procedure.
The mean age of patients at presentation was 31.8 years. A total of 14.3% (3/21) were pediatric patients with known history of persistent congenital nasolacrimal duct obstruction (CNLDO), and 9.5% (2/21) had a history of external DCR in the past. All patients received postoperative antibiotics. Additional procedures included distal canalicular trephination, septoplasty, and middle turbinoplasty in one patient each. All cases showed resolution of pain and swelling at 1 week follow-up. At the mean follow-up of 15.4 months, anatomical success was achieved in 85.7% of the patients (18/21), and functional success was achieved in 80.9% (17/21).
Powered endoscopic DCR is a useful modality in the management acute dacryocystitis, with good outcomes that are maintained over a long duration of time.
目的/假设：内镜下泪囊鼻腔造口术（DCR）作为急性泪囊炎和泪囊脓肿的主要治疗方式正迅速获得认可。本研究的目的是报告动力性内镜下DCR治疗急性泪囊炎的长期疗效。
前瞻性干预病例系列。
对21例急性泪囊炎患者进行了21次动力性内镜下DCR。所有病例均由同一外科医生（m.j.a.）采用先前发表的技术进行手术。所有泪道系统均插管6周。支架取出后至少随访1年进行最终分析。主要观察指标为手术的解剖学和功能学成功率。
患者就诊时的平均年龄为31.8岁。共有14.3%（3/21）为患有持续性先天性鼻泪管阻塞（CNLDO）已知病史的儿科患者，9.5%（2/21）既往有外路DCR病史。所有患者均接受了术后抗生素治疗。额外的手术包括分别有1例患者进行了泪小管远端穿刺、鼻中隔成形术和中鼻甲成形术。所有病例在术后1周随访时疼痛和肿胀均消退。平均随访15.4个月时，85.7%（18/21）的患者获得了解剖学成功，80.9%（17/21）的患者获得了功能学成功。
动力性内镜下DCR是治疗急性泪囊炎的一种有效方式，长期疗效良好。
4。《喉镜》，126:551 - 553，2016年。
