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移位的囊内硅胶植入物:慢性泪囊炎治疗中医源性失败的一个被忽视的原因。

Migrated Intracystic Silicone Implant: A Missed Cause of Iatrogenic Failure in Chronic Dacryocystitis Therapy.

作者信息

Sikdar Abhik, Wadhwani Raksha, Nivsarkar Sameer, Phatak Shrikant, Agarwal Richa, Yadav Nitika

机构信息

Department of ENT, Choithram Hospital and Research Center, Indore, Madhya Pradesh(MP) 452014 India.

出版信息

Indian J Otolaryngol Head Neck Surg. 2025 Jul;77(7):2696-2699. doi: 10.1007/s12070-025-05569-3. Epub 2025 May 20.

Abstract

After failed implant dacrocystorhinostomy (DCR) first patient underwent endoscopic DCR with removal of embedded intracystic implant (Pawar stent). After one-year, epiphora recurred due to a migrated second stent obstructing the neo-ostium. Second case with prelacrimal pneumatisation had failed left implant DCR due to misplaced stent in the middle meatus. Endoscopic DCR as primary surgery for dacryocystitis avoids such complications.

摘要

在植入式泪囊鼻腔造口术(DCR)失败后,首例患者接受了内镜下DCR并取出了嵌入囊内的植入物(Pawar支架)。一年后,由于第二个支架移位阻塞了新造口,溢泪复发。第二例患者泪前气肿,因中鼻道支架位置不当导致左侧植入式DCR失败。内镜下DCR作为泪囊炎的初次手术可避免此类并发症。

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