Endonasal Endoscopic Dacryocystorhinostomy
: A Preliminary Report
Korpong Rookkapan M.D.
Mansing Ratanasukon M.D.
Thawat Tantisarasart M.D.2
ABSTRACT Objective : To study the surgical results of endonasal endoscopic dacryocys-torhinostomy
(EESC-DCR) in 7 patients of Songkhanagarind hospital.
Methods : Retrospective study of 7 patients with nasolacrimal duct obstruction in
Songklanagarind hospital, were treated by EESC-DCR during March 1999 to
March 2000. The study included the demographic data, duration before treatment,
duration of silicone stent, follow up time and the surgical success rates.
Results : 7 patients (2 men, 5 women) were treated.
The mean age was 53 years. The mean duration of symptoms before treatment,
duration of silicone stent insertion, follow up time were 6.3 years, 100.8
days and 3.5 months respectively. The surgical success rates evaluated by
patent saccal irrigations were 100% in this short term follow up period.
Conclusion
: The surgical success rates of EESC-DCR were
high in short term Follow up. It has to be evaluated in long term period
before final success rate conclusion. However, EESC-DCR may be an alternative
treatment for patients with nasolacrimal duct obstruction who deny for external
dacryocystorhinostomy.
Thai
J Ophthalmol 2000 ; July-December 14(2) : 155-161.
Key word : Endonasal
endoscopic dacryocystorhinostomy, external dacryocystorhinostomy, nasolacrimal
duct obstruction, silicone stent.
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