J Korean Ophthalmol Soc > Volume 59(4); 2018 > Article
Journal of the Korean Ophthalmological Society 2018;59(4):307-313.
DOI: https://doi.org/10.3341/jkos.2018.59.4.307    Published online April 15, 2018.
The Clinical Effects of Triamcinolone-soaked Nasal Packing on Endonasal Dacryocystorhinostomy.
Seok Hyeon Song, Ka Hyun Lee
1Department of Ophthalmology, Konyang University College of Medicine, Daejeon, Korea. chullan@kyuh.ac.kr
2Myunggok Medical Research Institute, Konyang University, Daejeon, Korea.
코경유눈물주머니코안연결술 시 트리암시놀론을 적신 코충전물의 임상적 효과
송석현1,2⋅이가현1,2
건양대학교 의과대학 안과학교실1, 건양대학교 명곡의과학연구소2
Correspondence:  Ka Hyun Lee,
Email: chullan@kyuh.ac.kr
Received: 23 November 2017   • Revised: 28 December 2017   • Accepted: 1 April 2018
Abstract
PURPOSE
To evaluate the clinical effects of triamcinolone-soaked nasal packing on endonasal dacryocystorhinostomy (DCR). METHODS: The study included 91 patients (156 eyes) with primary acquired nasolacrimal duct obstruction who underwent endonasal DCR from March 2015 to February 2017. A total of 50 eyes were packed with triamcinolone-soaked Nasopore® and 106 eyes were packed with Nasopore® without triamcinolone (control group). The anatomical and functional success percentage, revision percentage, and postoperative complications such as granulation, synechiae, and membrane formation were compared between the groups at 1 week, 1 month, 2 months, and 4 months postoperatively. RESULTS: At postoperative 2 months, there was a statistically significant difference in the anatomical success percentage in the triamcinolone-soaked group (100%) compared to the control group (86.8%; p = 0.007). There were no statistically significant differences between the two groups in anatomical success percentage at postoperative 4 months (p > 0.05). However, there was a statistically significant difference in the functional success percentage in the triamcinolone-soaked group (92.0%) compared to the control group (78.3%; p = 0.035). When comparing postoperative complications, the triamcinolone-soaked group (4.0%) had a lower incidence of granulation than the control group (16.0%) (p = 0.032), but there were no differences in synechiae and membrane formation (p > 0.05). There was a statistically significant difference in the revision percentage in the triamcinolone-soaked group (4.0%) compared to the control group (16.0%) (p = 0.032). CONCLUSIONS: Triamcinolone-soaked nasal packing for endonasal DCR is an effective method for increasing the success percentage and lowering the incidence of granuloma and revision percentages.
Key Words: Endonasal dacryocystorhinostomy;Nasopore;Triamcinolone


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