| The Surgical Results of Dacryocystorhinostomy with Internal Punctoplasty for Common Canalicular Obstruction. |
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Yoon Duck Kim, Jae Jun Lee |
1Department of Ophthalmology, Samsung Medical Center, Seoul, Korea.
2Department of Ophthalmology, Seoul National University ColIege of Medicine, Seoul, Korea. |
| 총누소관 폐쇄가 있는 경우 누낭비강연결술과 내누점성형술의 수술 결과 |
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김윤덕(Yoon Duck Kim),이재준(Jae Jun Lee) |
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| Abstract |
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Conjunctivodacryocystorhinostomy using Jones tube has been the treatment of choice for patients with epiphora secondary to canalicular or internal punctal stenosis. This procedure requires a permanent prosthesis, and long-term follow up because of possible complications. From November 1990 to July 1994, 15 of the 87 dacryocystorhinostomy patients (17%) were noted to have canalicular or internal punctal stenosis prior to surgery by diagnostic lacrimal probing. We performed a dacryocystorhinostomy with internal punctoplasty in those patients. All patients underwent silicone intubation, with the tubes removed at an average of 5.6 months after surgery. Patent lacrimal system was established in 14 patients(93%), whereas 12 patients(80%) remained asymptomatic. We believe dacryocystorhinostomy with internal punctoplasty for patients with canalicular or internal punctal stenosis offers good results and obviates the necessity of conjunctivodacryocystorhinostomy using Jones tube. |
| Key Words:
Dacryocystorhinostomy;Epiphora;Internal punctaI stenosis;Internal punctoplasty;Jones tube |
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