Mete Güler, Özge Evren, Tamer Demir, Jülide Kurt

Eksternal Dakriosistorinostomi ve Bikanaliküler Silikon Tüp Entübasyonu Cerrahisi Sonuçlarımız

Amaç: Edinsel nazolakrimal kanal tıkanıklığı olan hastalarımızda eksternal dakriosistorinostomi ve silikon tüp entübasyonu (EDSR+STE) cerrahilerinin sonuçlarını değerlendirmek. Gereç ve Yöntem: Yaşları 9 ile 62 (ortalama 36,9) arasındaki edinsel nazolakrimal kanal tıkanıklığı olan 74 hastaya genel anestezi altında yapılan toplam 80 EDSR+ STE cerrahisi retrospektif olarak değerlendirildi. Bulgular: On üç hasta (%17,5) erkek, 61 (%82,5) hasta kadın idi. Seksen cerrahinin 79' u ilk girişimdi ve bu cerrahilerden 73'ünde (%91,25) açık pasaj elde edildi. Cerrahi sonrası ortalama takip süresi 7,4 ay (3-32 ay) idi. Bir (%1,25) müdahale başka bir merkezde ameliyat olan hastanın komplikasyonunu düzeltmek amacıyla yapıldı ve bu hastada da açık pasaj edinildi. Altı (%7,5) gözde pasaj kapandı. Elli yaşından genç olan 4 hasta tekrar ameliyat edildi ve bunların 2' (%50) sinde yeniden açık pasaj edinildi. Sonuç olarak 80 nazolakrimal kanal tıkanıklığının 76' (%95) sında pasaj açık idi. Bir (%1,25) gözde cilt fistülü gelişti ve başarıyla onarıldı. Beş (%6,25) gözde punktum erozyonu izlendi. En önemli erken şikayet epistaksis 9 (%11,25) cerrahide izlendi. Sonuç: Eksternal DSR+STE cerrahisi güvenli, etkili bir yöntemdir ve edinsel nazolakrimal kanal tıkanıklıklarında ilk girişim olarak uygulanabilir. Anahtar kelimeler: Eksternal Dakriosistorinostomi, Silikon tüp entübasyonu

Anahtar Kelimeler:

Eksternal Dakriosistorinostomi, Silikon tüp entübasyonu

The Results of Our External Dacryocystorhinostomy and Bicanalicular Silicone Tube Intubation Operation

Purpose: To assess the results of external dacryocystorhinostomy and bicanalicular silicone tube intubation (EDSR+STI) operations in our patients with acquired nasolacrimal duct obstruction. Materials and Methods: A total of 80 EDSR+STI operations that were performed under general anaesthesia on 74 patients with acquired nasolacrimal duct obstruction aged 9 to 62 (median 36,9) were evaluated retrospectively. Results: Thirteen patients (17,5%) were male and 61 (82,5%) were female. Seventy-nine of the 80 operations were initial procedures and in these procedures 73 (91,25%) open passages were obtained. Median postoperative follow-up period was 7,4 months (3 to 32 months). One (1,25%) procedure was made for restoration of a complication of a patient who was operated in a different center and in this patient open passage was obtained as well. In six patients (7,5%) eyes passages were closed. Four of these patients who were younger than 50 years old were reoperated and in two of them (50%) open passages re-obtained. Overall in 76 (95%) of the 80 nasolacrimal duct obstruction the passages were open. In one (1,25%) eye cutaneous fistula was developed and was repaired successfully. In five (6,25%) eyes punctum erosion were observed. The most important postoperative early complaint epistaxis was seen in nine (11,25%) procedures. Conclusion: External DSR+STI is a safe and effective procedure and it may be performed as an initial operation in patients with acquired nasolacrimal duct obstruction Key words: External dacryocystorhinostomy, Silicone tube intubation

Keywords:

External dacryocystorhinostomy, Silicone tube intubation,

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