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内镜下泪囊鼻腔造口术中皮瓣固定的比较研究

Flap Fixation in Endoscopic Dacryocystorhinostomy: A Comparative Study.

作者信息

Sikarwar Vikas, Ojha Sushil, Joshi Ankur, Shah Amit, Sandhu Rameet, Gandhi Pankaj

机构信息

Associate Professor, Otolaryngology and Head and Neck Surgery, Government Doon Medical College, Dehradun, Uttarakhand, India.

Associate Professor, Department of Ophthalmology Government Doon Medical College, Dehradun, Uttarakhand, India.

出版信息

J Pharm Bioallied Sci. 2024 Jul;16(Suppl 3):S2053-S2055. doi: 10.4103/jpbs.jpbs_1298_23. Epub 2024 May 1.

DOI:10.4103/jpbs.jpbs_1298_23
PMID:39346130
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11426621/
Abstract

BACKGROUND

The usual procedure for nasolacrimal duct obstruction is dacryocystorhinostomy (DCR). Flap-based DCR techniques lead to better surgical outcome provided flaps do not dislocate in the post-operative period.

OBJECTIVES

This study was conducted to compare gelfoam with merocel tamponade for fixation of mucosal flaps in endoscopic DCR.

MATERIALS AND METHOD

Merocel tamponade was used for fixation of flaps in 26 patients. Gelfoam was used in 26 patients, and surgical results were compared.

RESULTS

The surgical success rate was greater in merocel tamponade fixation with less complications.

CONCLUSION

Merocel tamponade can be used successfully for mucosal flap fixation in endoscopic DCR for better surgical outcome.

摘要

背景

鼻泪管阻塞的常规手术是泪囊鼻腔吻合术（DCR）。基于皮瓣的DCR技术能带来更好的手术效果，前提是皮瓣在术后不发生移位。

目的

本研究旨在比较在内镜下DCR中使用明胶海绵与美罗培南填塞来固定黏膜皮瓣的效果。

材料与方法

26例患者使用美罗培南填塞来固定皮瓣。26例患者使用明胶海绵，并比较手术结果。

结果

美罗培南填塞固定的手术成功率更高，并发症更少。

结论

美罗培南填塞可成功用于内镜下DCR中黏膜皮瓣的固定，以获得更好的手术效果。

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本文引用的文献

1
Comparison of impact of four surgical methods on surgical outcomes in endoscopic dacryocystorhinostomy.四种手术方法在内镜下泪囊鼻腔造孔术中对手术结果的影响比较。
J Craniomaxillofac Surg. 2016 Jun;44(6):749-52. doi: 10.1016/j.jcms.2016.02.015. Epub 2016 Mar 4.
2
Endoscopic dacryocystorhinostomy with flap suturing.带瓣缝合的内镜下泪囊鼻腔造口术
Indian J Otolaryngol Head Neck Surg. 2013 Aug;65(Suppl 2):236-41. doi: 10.1007/s12070-011-0354-z. Epub 2011 Dec 7.
3
Endoscopic dacryocystorhinostomy: creation of a large marsupialized lacrimal sac.
内镜下泪囊鼻腔造口术：创建一个大的袋状泪囊。
J Korean Med Sci. 2006 Aug;21(4):719-23. doi: 10.3346/jkms.2006.21.4.719.
4
Endonasal dacryocystorhinostomy with mucosal flaps.带黏膜瓣的鼻内泪囊鼻腔造口术
Am J Ophthalmol. 2003 Jan;135(1):76-83. doi: 10.1016/s0002-9394(02)01830-5.