| The Effect of Dacryocystorhinostomy and Septoplasty Combination Surgery for Lacrimal Obstruction with Septal Deviation. |
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Ah Ron Kim, Chang Wook Choi, Sang Duck Kim |
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Institute of Wonkwang Medical Science, Department of Ophthalmology, Wonkwang University College of Medicine, Iksan, Korea. sangduck@wonkwang.ac.kr |
| 비중격만곡증이 동반된 눈물배출계폐쇄 환자에서 코경유 눈물주머니코안연결술과 비중격교정술의 동시 수술 효과 |
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김아론⋅최창욱⋅김상덕 |
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Institute of Wonkwang Medical Science, Department of Ophthalmology, Wonkwang University College of Medicine, Iksan, Korea |
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| Abstract |
PURPOSE
To evaluate the clinical effect of endonasal dacryocystorhinostomy (DCR) and septoplasty combination surgery for lacrimal obstruction in patients with nasal septal deviation. METHODS: The study group consisted of 24 eyes of 24 lacrimal obstruction patients with nasal septal deviation who had undergone endonasal DCR combined with septoplasty from 2006 to 2012. The types of lacrimal obstruction included nasolacrimal duct obstruction (18 cases), common canaliculus obstruction (5 cases) and lower lacrimal duct obstruction (1 case). The operations' procedure was as follows: first, an otorhinolaryngologist performed septoplasty and then, an ophthalmologist performed endonasal DCR. For catamnesis observation after the surgery, the operations' results and nasal complications were retrospectively analyzed. RESULTS: A total of 24 eyes of 24 patients were included in the present study. Eight patients were males, 16 patients were females and the mean patient age was 52.1 years. During 15.5 months of catamnesis, loss of epiphora was observed in 20 cases, improvement in epiphora was found in 3 cases, and the functional and anatomical success rate was 95.8% (23/24). Eight cases of postoperative complication were observed, 7 cases of granuloma were found in the bony ostium and surrounding area, and 1 case of synechia was found in the nasal cavity. CONCLUSIONS: The combination surgery of endonasal DCR and septoplasty provides a wider surgical view, allowing for an easier nasal cavity treatment, rendering the operation and after-care less difficult, as well as reducing the risk of surrounding tissue damage. This method is adequate for preventing complications after surgery and offers a better prognosis. |
| Key Words:
Endonasal dacryocystorhinostomy;Septal deviation;Septoplasty |
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