Mehmet ÇUBUK, Hülya BARDAK, Savaş ÇETİNKAYA, Oğuz GÜVENMEZ

Results of Single and Double Flap Anastomosis in External Dacryocystorhinostomy Surgery

Background: Dacryocystorhinostomy DCR is one of the most common oculoplastic surgeries. In this study, we aimed to compare single and double flap anastomosis results in external dacryocystorhinostomy surgery. Materials and Methods: Between January 2016 and November 2017, 156 patients who underwent external DCR were evaluated retrospectively. All cases were performed under general anesthesia. In the first group, 86 patients 52 female, 34 male had a double flap external DCR. In the second group, 70 patients 40 female, 30 male had a single flap external DCR. Results: The mean follow-up period was 18.2±8.6 months in the double flap group and 16.4±5.4 months in the single flap group. The mean age was 48.2±16 in the double flap group and 46.3±17 in the single flap group. The success rate was 96.6% in the double flap group and 95.8% in the single flap group. Conclusion: In our study, there was no difference in surgical success in patients undergoing single and double flap external DCR surgery.

Keywords:

External dacryocystorhinostomy, single flap, double flap,

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1.Toti A. Novo metodo conservatre di cura radicale dele suppurazioni chroniche del sacco lacrimale (dacriocisto rhinostomia). Clin Mod Firenze 1904;10:385-9
2.Dupuy-Dutemps L, Bourget J. Procede plastique de dacryocystorhinostomia et ses resultats. Ann Ocul J 1921;158:241-61
3.Baldeschi L, Nardi M, Hintschich CR, Koomneef L. Anterior suspended flaps: a modified approach for external dacryocystorhinostomy. Br J Ophthalmol 1998;82(7):790-2
4.Serin D, Alagöz G, Karslıoglu S, Celebi S, Kükner S. External dacryocystorhinostomy: Double-flap anastomosis or excision of posterior flaps? Ophthal Plast Reconstr Surg 2007;23 (1):28-31
5.Rizvi SA, Sharma SC, Tripathy S, Sharma S. Management of traumatic dacryocystitis and failed dacryocystorhinostomy using silicone lacrimal intubation set. Indian J Otolaryngol Head Neck Surg 2011;63(3):264-8
6.Deka A, Saikia SP, Bhuyan SK. Combined posterior flap and anterior suspended flap dacryocystorhinostomy: A modification of external dacryocystorhinostomy. Oman J Ophthalmol 2010;3(1):18-20
7.Bayhan SA, Recep ÖF, Düzen B, Hasıripi H. Eksternal dakriosistorinostomi cerrahisinde tek flep ve çift flep sonuçlarımız. TJO 2008;38(5):371-4
8.Mat E,Okumuş S, Zorlu F, Koçluk Y, Sözen T. Eksternal dakriyosistorinostomi ameliyatlarında tek ve çift flep anastomoz sonuçlarının karşılaştırılması Gaziantep Tıp Derg 2013;19(1): 40-42
9.Kazancı B,Erşan İ. Özek D. Gencer B. Eksternal dakriyosistorinostomi:tek veya çift flep anastomozu Dicle medj 2013;40(4):601-604
10.Haefliger IO, Tschopp M, Pimentel AR. Mucosal excision instead of fashioning nasolacrimal mucosae flaps during external dacryocystorhinostomy: a pilot study. Klin Monbl Augenheilkd 2012;229(4):387-90
11.Warren JF, Seiff SR, Kavanagh MC. Long-term results of external dacryocystorhinostomy. Ophthalmic Surg Lasers Imaging 2005;36(6):446-50
12.Duffy MT. Advances in lacrimal surgery. Curr Opin Ophthalmol 2000;11(5):352-6
13.Erdöl H, Akyol N, İmamoglu HI, Sözen E. Long term follow up of external dacryocystorhinostomy and the factors affecting its success. Orbit 2005;24:99-102
14.Bothra N, Wani RM, Ganguly A, Tripathy D, Rath S. Primary nonendoscopic endonasal versus external dacryocysto rhinostomy in nasolacrimal duct obstruction in children. Indian J Ophthalmol. 2017;65:1004-1007
15.Takahashi Y, Mito H, Kakizaki H. External Dacryo cystorhinostomy With or Without Double Mucosal Flap Anastomosis: Comparison of Surgical Outcomes. J Craniofac Surg. 2015;26(4):1290-3