The Surgical Efficacy of External Dacryocystorrhinostomy.

Hong, Jun Hyung; Chung, Wha Sun

Original Article

Journal of the Korean Ophthalmological Society 2001;42(4):547-552.
Published online April 1, 2001.

The Surgical Efficacy of External Dacryocystorrhinostomy.

Jun Hyung Hong, Wha Sun Chung

Department of Ophthalmology, Yeungnam University College of Medicine, Daegu, Korea.

피부접근법을 통한 누낭비강연결술의 수술효과

홍준형(Jun Hyung Hong),정화선(Wha Sun Chung)

Abstract

PURPOSE
To evaluate the success rate of conventional skin dacryocystorhinostomy(DCR), the success rate and postoperative complications were evaluated after the follow-up period of 6~72 months(average 16.7 months), and compared with those of our previous reports on endonasal DCR, at postoperative 6 months(PO6M) and 12 months(PO12M). METHODS: skin DCR was performed in 76 patients, 89 eyes between July 1993 and June 2000 at the Department of Ophthalmology, Yeungnam University College of Medicine. RESULTS: Primary success rate of skin DCR was 93.3%, and the final success rate after revision of mucosal ostium revealed 96.6%. Postoperative complications included 7 cases of silicone tube protrusion and 4 cases of mucosal ostium obstruction. CONCLUSIONS: Primary success rate of skin DCR was 93.3%, and those of endonasal DCR were 92.3%(PO6M) and 89.8%(PO12M). The final success rate of skin DCR was 96.6%, and those of endonasal DCR were 98.4%(PO6M) and 99.2%(PO12M).

Key Words: Endonasal dacryocystorhinostomy;Final success rate;Primary success rate;Skin dacryo-cystorhinostomy