Transkanaliküler diod lazer dakriyosistorinostomi sonuçlarımız

Amaç: Nazolakrimal kanal (NLK) tıkanıklığı olan hastalarda uyguladığımız transkanaliküler diod lazer dakriyosistorinostomi (TDL-DSR) sonuçlarını değerlendirmek. Materyal ve Metot: Geriye dönük çalışmaya 32 hastanın (25 kadın, 7 erkek) 36 gözü alındı. Çalışmaya epifora şikayetiyle başvurup, lakrimal lavaj sonrasında NLK pasajı tıkalı olan ve burun içi patolojisi olmayan olgular dahil edildi. Cerrahi sonrası lavajın açık olması ve epiforanın kaybolması cerrahi başarı olarak değerlendirildi. Olguların ortalama takip süresi 23,9±10,2 ay (7- 39 ay aralığında) idi. Bulgular: Olguların yaşları ortalaması 40,2±14,3 yıl (9- 74 yıl aralığında) idi. Otuz altı olguya TDL-DSR uygulandı. Olgulardan 26’sına (%72,2) silikon tüp entübasyonu uygulanırken, 10 olguya (%27,8) silikon tüp entübasyonu uygulanmadı. Ortalama cerrahi süresi 28,25±5,58 dk (18-38 dakika aralığında) idi. Silikon uygulanan grupta cerrahi süre ortalama 30,73±4,23 dk, silikon tüp uygulanmayan grupta 21,80±2,25 dk bulundu (p

Our results of Transcanalicular Diode Laser Dacryocystorhinostomy

Background: To evaluate the results of transcanalicular diode laser dacryocystorhinostomy (TDL-DCR) surgery in patients with nasolacrimal canallicular (NLC) obstruction. Material and Methods: Retrospectively, thirty six eyes of 32 patients (25 female, 7 male) were reviewed in the study. Patients who applied with complaint of epiphora underwent nasolacrimal lavage. The patients with NLC obstruction and free from intranasal pathologies were enrolled in this study. Surgical success was defined as patency of lavage and loss of epiphora in the post- operative period. The mean follow-up time was 23.9±10.2 months (range: 7- 39 months). Results: The mean age of patients was 40.2±14.3 years (range: 9-74 years). TDL-DCR was performed in thirty- six cases. The silicon tube was intubated in 26 (72.2%) of the cases. Overall, the mean surgery time was 28.25±5.58 minutes (range: 18-38 minutes). The mean surgery time was 30.73±4.23 minutes in the group with silicon tube intubation and 21.80±2.25 minutes in the group without silicon tube (p <0.01). The success rate of the TDL-DCR was found to be 52.77%. There was no difference between the success rate of groups with or without silicon tube intubation (p=0.46). Conclusions: TDL-DCR is an effective and successful method for the treatment of NLC obstruction. We think that surgical success can be improved with effective use of endoscope and adjuvant therapy. Backgraund: To evaluate the results of transcanalicular diode laser dacryocystorhinostomy (TDL-DCR) surgery in patients with nasolacrimal canallicular (NLC) obstruction. Material and Methods: Retrospectively, thirty six eyes of 32 patients (25 female, 7 male) were reviewed in the study. Patients who applied with complaint of epiphora underwent nasolacrimal lavage. The patients with NLC obstruction and free from intranasal pathologies were enrolled in this study. Surgical success was defined as patency of lavage and loss of epiphora in the post operative period. The mean follow-up time was 23.9± 10.2 months (range: 7- 39 months). Results: The mean age of patients was 40.2±14.3 years (range: 9-74 years). TDL-DCR was performed in thirty- six cases. The silicon tube was intubated in 26 (72.2%) of the cases. Overall, the mean surgery time was 28.25±5.58 minutes (range: 18-38 minutes). The mean surgery time was 30.73±4.23 minutes in the group with silicon tube intubation and 21.80±2.25 minutes in the group without silicon tube (p<0.01). The success rate of the TDL-DCR was found to be 52.77%. There was no difference between the success rate of groups with or without silicon tube intubation (p=0.46). Conclusions: TDL-DCR is an effective and successful method for the treatment of NLC obstruction. We think that surgical success can be improved with effective use of endoscope and adjuvant therapy.

___

  • 1. Yakopson VS, Flanagan JC, Ahn D, Luo BP. Dacryocystorhinostomy: History, evolution and future directions. Saudi J Ophthalmol 2011;25:37- 49.
  • 2. Reifler DM. Results of endoscopic KTP laser-assisted dacryocystorhinostomy. Ophthal Plast Reconstr Surg 1993;9:231-6.
  • 3. Eloy P, Trussart C, Jouzdani E, Collet S, Rombaux P, Bertrand B. Transcanalicular diode laser assisted dacryocystorhinostomy. Acta Otorhinolaryngol 2000;54:157-63.
  • 4. Nuhoglu F, Gurbuz B, Eltutar K. Long-term outcomes after transcanalicular laser dacryocystorhinostomy. Acta Otorhinolaryngol 2012;32:258-62.
  • 5. Joshi RS. Conventional dacryocystorhinostomy in a failed trans- canalicular laser-assisted dacryocystorhinostomy. Indian J Ophthalmol 2011;59:383-5.
  • 6. Bakan O, Yavaş G, İnan U, et al. Transkanaliküler multi-diod lazer dakriyosistorinostomi etkinliği ve güvenirliği. MN-Oftalmoloji Dergisi 2013; 20:193-99.
  • 7. Yıldırım Y, Can E, Akay F. Transkanaliküler multidiod lazer dakriyosistorinostomi cerrahisi sonuçlarımız. MN-Oftalmoloji Dergisi 2011; 18:122-26.
  • 8. Yılmaz T, Yılmaz A, Mert M, Taşkapılı M. Endoskopik lazer dakriosistorinostomi sonuçlarımız. İstanbul Tıp Dergisi 2013;14:102-05.
  • 9. Kaynak P, Ozturker C, Yazgan S, et al. Transcanalicular diode laser assisted dacryocystorhinostomy in primary acquired nasolacrimal duct obstruction: 2-year follow up. Ophthal Plast Reconstr Surg 2014;30:28-33.
  • 10. Plaza G, Betere F, Nogueira A. Transcanalicular dacryocystorhinostomy with diode laser: long-term results. Ophthal Plast Reconstr Surg 2007; 23:179-82.
  • 11. Henson RD, Cruz HL, Henson RG, Ali MJ, Kakizaki H. Postoperative application of mitomycin-C in endocanalicular laser dacryocystorhinostomy. Ophthal Plast Reconstr Surg 2012;28:192-5.
  • 12. Feng YF, Yu JG, Shi JL, Huang JH, Sun YL, Zhao YE. A meta-analysis of primary external dacryocystorhinostomy with and without mitomycin C. Ophthalmic Epidemiol 2012;19:364-70.
  • 13. Cheng SM, Feng YF, Xu L, Li Y, Huang JH. Efficacy of mitomycin C in endoscopic dacryocystorhinostomy: a systematic review and meta-analysis. PLoS One 2013;8:e62737.
  • 14. Chong KK, Lai FH, Ho M, Luk A, Wong BW, Young A. Randomized trial on silicone intubation in endoscopic mechanical dacryocystorhinostomy (SEND) for primary nasolacrimal duct obstruction. Ophthalmology 2013;120:2139-45.
  • 15. Unlu HH, Toprak B, Aslan A, Guler C. Comparison of surgical outcomes in primary endoscopic dacryocystorhinostomy with and without silicone intubation. Ann Otol Rhinol Laryngol 2002;111:704-9.
  • 16. Weber R, Hochapfel F, Draf W. Packing and stents in endonasal surgery. Rhinology 2000;38:49-62.
  • 17. Henson RD, Henson RG Jr, Cruz HL Jr, Camara JG. Use of the diode laser with intraoperative mitomycin C in endocanalicular laser dacryocystorhinostomy. Ophthal Plast Reconstr Surg 2007;23:134-7.
  • 18. Dogan R, Meric A, Ozsutcu M, Yenigun A. Diode laser-assisted endoscopic dacryocystorhinostomy: a comparison of three different combinations of adjunctive procedures. Eur Arch Otorhinolaryngol 2013;270:2255-61.
Yeni Tıp Dergisi-Cover
  • ISSN: 1300-2317
  • Yayın Aralığı: Yılda 4 Sayı
  • Başlangıç: 2018
  • Yayıncı: -
Sayıdaki Diğer Makaleler

Warfarine bağlı antikoagulan etkiyi geri çevirmede protrombin kompleks konsantresi kullanımı: Tek merkez deneyimi

Fatma KEREN, Eda ŞİMŞEK TANRIKULU, Özlem BALÇIK ŞAHİN, Ali KOŞAR

Hint kınası ile yapılan geçici dövmeye bağlı localize hipertrikoz: Bir olgu

Havva Kaya AKIŞ, Bengü Çevirgen CEMİL, Filiz CANPOLAT, Müzeyyen GÖNÜL

İzole hemihpertrofili bir olgunun sunumu

FESİH AKTAR, ALİ GÜNEŞ, Murat BAŞARANOĞLU, Mehmet Selçuk BEKTAŞ, Zehra DOĞAN

Hint Kınası ile Yapılan Geçici Dövmeye Bağlı Lokalize Hipertrikoz: Bir Olgu

Havva AKIŞ KAYA, Bengü CEMİL ÇEVİRGEN, Filiz CANPOLAT, Müzeyyen GÖNÜL

The G1057D polymorphism of insulin receptor substrate-2 (IRS2) gene with type 2 diabetes in the Turkish population

Sevim ÇELİK KARAKAŞ, Nurcan ATEŞ ARAS, MERAL URHAN KÜÇÜK, Serap YALIN, Esen AKBAY

İzole Hemihipertrofili Bir Olgunun Sunumu

Fesih AKTAR, Ali GÜNEŞ, Murat BAŞARANOĞLU, Mehmet Selçuk BEKTAŞ, Zehra DOĞAN

Transkanaliküler diod lazer dakriyosistorinostomi sonuçlarımız

Sibel ÖSKAN, Sinan ÇALIŞKAN, Ayşe Yeşim ORAL AYDIN

Yenidoğan yoğun bakım ünitelerinde iyatrojeni kavramına güncel bir bakış açısı

Mehmet Nevzat ÇİZMECİ, MEHMET KENAN KANBUROĞLU, Mustafa Mansur TATLI

Fibular hemimelili olgunun prenatal sonografik teşhisi

Zeynep İlerisoy YAKUT, Ali İPEK, Hatice AKKAYA

Geniş hasta popülasyonunda çok kesitli bilgisayarlı tomografik anjiyografi ile saptanan miyokardiyal köprü prevelansı

Abdullah GÜVEN, Ömer Çağlar YILMAZ, Yusuf SELÇOKİ, Muhammed Bora DEMİRÇELİK, Özgür Gürel MALÇOK