Tolga KOCATÜRK, Mehmet Özgür Zengin, Harun Çakmak, Müjdat KARABULUT, Ceren Günel, Volkan DAYANIR, Erkin Kır

Endolaser Dakriyosistorinostomi ile Eksternal Dakriyosistorinostomi Sonuçlarının Karşılaştırılması

Bu çalışmanın amacı endoskopik endolaser dakriyosistorinostomi (DSR) ve bikanaliküler silikon tüp entübasyonu (BSTE) sonuçları ile eksternal DSR sonuçlarımızı karşılaştırmaktır. DSR uygulanan hastaların dosyaları retrospektif olarak incelendi. Hastalar postoperatif dönemde kontrollere çağrıldı. Takiplerinde semptom ve bulgularındaki değişiklikler, tüplerin kalma süreleri kaydedildi. 124 hastanın 132 gözü çalışmaya dahil edildi. 61 hastanın 63 gözüne endolaser DSR uygulandı (Grup 1) ve 63 hastanın 69 gözüne eksternal DSR uygulandı (Grup 2) (p > 0,05). Grup 1’deki hastalar ortalama 6,6 ay (2-11 ay), Grup 2’deki hastalar 5,9 ay (2-7 ay) takip edildi (p > 0,05). Hastaların ortalama yaşları sırasıyla Grup 1 ve 2’de 51,2 yıl (27-81 yıl) ve 48,5 yıl (25- 82 yıl) olarak bulundu (p > 0,05). Takip süresince Grup 1’deki 54 hastada (%85,7) ve Grup 2’deki 64 hastada (%92,8) irritatif semptomlar ve bulgular geriledi ve rekürrens görülmedi (p > 0,05). Lakrimal stenozlu olgularda endolaser DSR+BSTE uygulaması etkin bir yöntem olarak görünmektedir.

Anahtar Kelimeler:

Lakrimal kanal stenozu, Endoskopik endolaser dakriyosistorinostomi, bikanaliküler silikon tüp entübasyonu

Comparison of Endolaser Dacryocystorhinostomy and External Dacryocyctorhinostomy Results

Aim of this study is to compare endoscopic endolaser dacryocystorhinostomy (DCR) with bicanalicular silicone tube intubation (BSTI) and external DCR results. The records of patients who underwent DCR operation were retrospectively evaluated. Patients were invited to the controls in the postoperative period. In their follow-ups, changes in symptoms and findings, the duration of the tubes remain in place were recorded. 132 eyes of 124 patients were included in the study. 63 eyes of 61 patients were applied endolaser DCR (Group 1) and 69 eyes of 63 patients were applied external DCR (Group 2) (p>0.05). Patients were followed 6.6 months (2-11 months) and 5.9 months (2-7 months) in groups 1 and 2, respectively (p>0.05). Mean age of patients was 51.2 years old (range between 27-81 years) and 48.5 years old (range between 25-82 years), respectively (p>0.05). Irritative symptoms and findings were regressed and no recurrence was observed during follow-up in 54 patients (85.7%) and 64 patients (92.8%) in groups 1 and 2, respectively (p>0.05). Endolaser DCR + BSTE application seems to be an effective method in lacrimal stenosis.

Keywords:

Lacrimal duct stenosis, endoscopic endolaser dacryocystorhinostomy, bicanalicular silicone tube intubation,

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