Emine ŞAKALAR GÜVEN, Hikmet BAŞMAK, Hüseyin GÜRSOY, Hamdi ÇAKLI

Dakriyosistorinostominin baflarısız olduğu hastalarda endoskopik inceleme ve paranazal bilgisayarlı tomografi bulgularının değerlendirilmesi

Dakriyosistorinostominin başarısız olduğu hastalarda endoskopik inceleme ve paranazal bilgisayarlıtomografi bulgularının değerlendirilmesiAmaç: Bu çalışmanın amacı başarısız dakriyosistorinostomi (DSR) olgularında endoskopik inceleme ve paranazal bilgisayarlı tomografi(PNBT) bulgularını değerlendirmektir.Yöntem:Çalışma 30 başarısız olunmuş DSR hastası (yaş ortalaması:49.9±18.9; 18 kadın ve 12 erkek) ve 30 başarılı olunmuş DSR hastasını (yaş ortalaması: 56.3±15.9; 20 kadın ve 9 erkek) kapsamaktadır.Ameliyat öncesi endoskopik muayene ve PNBT bulguları kullanılarakhastalığın nüks etme nedenleri değerlendirildi. Bulgular:Otuz başarısız olgunun 24'ünde (%80), 30 başarılı olgununise 12'sinde (%40) endoskopik patoloji saptandı (p

Evaluation of endoscopic examination and paranasal computed tomography findings in failed dacryocystorhinostomy patients

Objective:The aim of this study is to evaluate endoscopic andparanasal computed tomography (PNCT) findings in cases of faileddacryocystorhinostomy (DCR). Methods:This study included 30 cases of failed DCR (18 females, 12males; mean age: 49.9±18.9 years) and 30 successful DCR patients (20females, 9 males; mean age: 56.3±15.9 years). The reasons for the recurrence of the disease were evaluated using preoperative endoscopic examination and PNCT findings. Results: Endoscopic pathology was identified in 24 out of 30 failed cases(80%), while endoscopic pathology was identified in 12 out of 30 successful cases (40%) (p<0.05). PNCT revealed nasal pathology in 24 out of 30failed cases (80%), and in 15 out of 30 successful cases (50%) (p<0.05). Conclusion:Endonasal and sinonasal pathologies may be associatedwith DCR failure. Before the commencement of revision DCR, endoscopic examination and PNCT may provide valuable informationregarding the underlying etiology

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