| Clinical Results of Nasopore(R) Nasal Packing on Endonasal Dacryocystorhinostomy. |
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Ji Sun Baek, Sun Young Jang, Tae Seong Park, Jae Woo Jang, Hye Sun Choi |
1Department of Ophthalmology, Konyang University, Kim's Eye Hospital, Myung-Gok Eye Research Institute, Seoul, Korea. hs0903@kimeye.com
2Deartment of Ophthalmology, Soonchunhyang Bucheon Hospital, Soonchunhyang University College of Medicine, Bucheon, Korea. |
| 코경유 눈물주머니코안연결술시 코패킹 물질로 사용한 NasoporeⓇ의 임상적 결과 |
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백지선1⋅장선영2⋅박태성1⋅장재우1⋅최혜선1 |
Department of Ophthalmology, Konyang University, Kim’s Eye Hospital, Myung-Gok Eye Research Institute1, Seoul, Korea
Deartment of Ophthalmology, Soonchunhyang Bucheon Hospital, Soonchunhyang University College of Medicine2, Bucheon, Korea |
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| Abstract |
PURPOSE
To investigate the effects of Nasopore(R) as a nasal packing material on the surgical success rate and prevalence of postoperative complications after endonasal dacryocystorhinostomy (DCR). METHODS: The present study included a total of 558 patients (699 eyes) with primary acquired nasolacrimal duct obstruction who underwent endonasal DCR; 227 eyes were packed with Nasopore(R) and 472 eyes were packed with Merocel(R). The surgical success rate and postoperative complications such as synechiae, granulation, wound healing (osteal mucosal epithelium epithelialization), postoperative bleeding, infection, and revision rate were compared between the packing materials. RESULTS: The surgical success rate of the Nasopore(R) group (99.1%, 98.6%) showed significantly better results than the Merocel(R) group (97.2%, 95.1%) at postoperative 1 and 3 months (p = 0.04, 0.03 Pearson chi-square test), whereas there was no statistically significant difference between the 2 groups in postoperative surgical success rate at 1 week and 6 months. In comparison of postoperative complications, the Nasopore(R) group (0%) showed a lower incidence of delayed wound healing (delayed epithelialization of osteal mucosal epithelium) than the Merocel(R) group (2.3%; p = 0.013), whereas there was no difference in granulation, synechiae, postoperative bleeding, infection and revision rate (p > 0.05). CONCLUSIONS: The Nasopore(R) group showed a lower proportion of delayed wound healing and improvement of the surgical success rate at an early postoperative period after endonasal DCR compared to non-absorbable nasal packing material. |
| Key Words:
Absorbable packing material;Dacryocystorhinostomy;Nasopore(R);Postoperative complication;Surgical success |
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