Department of Otolaryngology, Head and Neck Surgery, Yozgat City Hospital, Yozgat, Turkey.
Department of Ophthalmology, Yozgat City Hospital, Yozgat, Turkey.
Orbit. 2021 Aug;40(4):274-280. doi: 10.1080/01676830.2020.1782441. Epub 2020 Jun 28.
To compare endoscopic dacryocystorhinostomy (endo-DCR) + septoplasty with endo-DCR alone and determine the relationship between sinusitis and endo-DCR surgery results.
Our study included 55 patients with nasolacrimal duct obstruction (NLDO) between June 2017 and June 2019. Patients were divided into two groups as endo-DCR alone and endo-DCR + septoplasty. Patients' symptoms were thoroughly evaluated and scored using the Lund-Mackay (LM) score and the Lund-Kennedy (LK) system. According to LK endoscopy scoring; those with a score of 0 were determined as group 1 (40 (58.8%) cases); and those with a score greater than 0 were determined as group 2 (28(41.2%) cases). According to LM CT scoring system, cases whose score was 0 were determined as group 1 (44(%66.2) cases); those greater than 0 were determined as group 2 (23(33.8%) cases).
A total of 68 endo-DCR surgeries, 42 unilateral and 13 bilateral, were performed. Forty one cases (60.3%) were managed with endo-DCR alone, and septoplasty surgery was performed in 27 (39.7%) cases in addition to endo-DCR due to septum deviation. There was no statistically significant difference in functional and anatomical success between the two groups in terms of surgery type (anatomical success = .353, functional success = .528); LK endoscopy scoring (anatomical success = .956, functional success = .925) and LM CT scoring system (anatomical success = .202, functional success = .172).
LK endoscopy and LM CT scores did not show any influence on functional and anatomic outcomes in endo-DCR cases.
比较内镜下鼻内泪囊鼻腔吻合术（endo-DCR）+鼻中隔成形术与单独 endo-DCR，并确定鼻窦炎与 endo-DCR 手术结果之间的关系。
我们的研究纳入了 2017 年 6 月至 2019 年 6 月期间 55 例鼻泪管阻塞（NLDO）患者。患者分为单独 endo-DCR 组和 endo-DCR+鼻中隔成形术组。通过 Lund-Mackay（LM）评分和 Lund-Kennedy（LK）系统对患者的症状进行全面评估和评分。根据 LK 内窥镜评分，评分 0 者为组 1（40 例（58.8%）），评分>0 者为组 2（28 例（41.2%））。根据 LM CT 评分系统，评分 0 者为组 1（44 例（66.2%）），评分>0 者为组 2（23 例（33.8%））。
共进行了 68 例 endo-DCR 手术，其中单侧 42 例，双侧 13 例。41 例（60.3%）患者仅接受 endo-DCR 治疗，由于鼻中隔偏曲，27 例（39.7%）患者除 endo-DCR 外还接受鼻中隔成形术。手术类型、LK 内窥镜评分、LM CT 评分系统在手术的功能和解剖成功率方面无统计学差异（解剖成功率=.353，功能成功率=.528）。
LK 内窥镜和 LM CT 评分并未显示对 endo-DCR 病例的功能和解剖结果有任何影响。
