Evaluation of external dacryocystorhinostomy results with the suspended anterior-based U Flap technique
Abstract
Aim: The aim of the present study was to evaluate the surgical outcomes and complications in patients operated with the suspended anterior-based U flap technique. Method: Between September 2019 and January 2022, 121 eyes of 103 patients who presented to our clinic with epiphora and were diagnosed as primary acquired nasolacrimal duct obstruction by lacrimal irrigation test and underwent external dacryocystorhinostomy with an anterior suspended U flap technique were included in the study. Anatomical success was considered as open passage in lacrimal irrigation test and functional success was considered as disappearance of epiphora complaint. Results: Of the patients included in the study, 27 (26%) were male and 76(74%) were female. The mean age of the patients was 57.05±14.73 years and the mean follow-up period was 13.41±3.7 months. The mean duration of surgery was 22 ± 3.08 minutes. No serious complications were encountered during or after surgery. When the six-month results were evaluated, 96% anatomical and functional successes were achieved. Conclusion: The anterior U flap technique seems to be an effective treatment method for primary acquired nasolacrimal duct obstruction, which reduces surgical time and morbidity without decreasing functional success.
Keywords
Primary acquired nasolacrimal duct obstruction external dacryocystorhinostomy anterior U flap technique
References
- Erdol H, Akyol N, İmamoğlu HI, et al. Long-term followw-up of external dacryocystorhinostomy and the factors, affecting its success. Orbit 2005;24:99-102.
- Toti A. Nuovo metodo conservatore di cura radicle delle suppurazoni croniche del sacco lacrimale (Dacriocistorinostomia). Clinica Moderna Firenze 1904;10:385-7.
- Bukhari AA. Meta-analysis of the effect of posterior mucosal flap anastomosis in primary external dacryocystorhinostomy. Clin Ophthalmol 2013;7:2281-5.
- Sobel RK, Aakalu VK, Wladis EJ, et al. A comparison of endonasal dacryocystorhinostomy and external dacryocystorhinostomy: A report by the American Academy of Ophthalmology. Ophthalmology 2019;126:1580-5.
- Rajabi MT, Shahraki K, Nozare A, et al. External versus Endoscopic Dacryocystorhinostomy for Primary Acquired Nasolacrimal Duct Obstruction. Middle East Afr J Ophthalmol 2022;29:1-6.
- Baldeschi L, Nardi M, Hintschich CR, et al. Anterior suspended flaps: a modified approach for external dacryocystorhinostomy. Br J Ophthalmol 1998;82:790-2.
- Tetikoglu M, Sagdik HM, Ozcura F, et al. Assessment of anterior suspended flaps modification for external dacryocystorhinostomy. J Craniofac Surg 2015;26:789-91.
- Kacaniku G and Begolli I. External dacryocystorhinostomy with and without suturing the posterior mucosal flaps. Medicinski Arhiv 2014;68:54–6.
- Khan FA, Yaqub MA, and Fayyaz M. The importance of excising or suturing the posterior mucosal flaps in external dacryocystorhinostomy. Pak J Ophthalmol 2010;26:69-72.
- Serin D, Alagöz G, Karslıoğlu S, et al. External dacryocystorhinostomy: Double-flap anastomosis or excision of the posterior flaps? Ophthalmic Plast Reconstr Surg 2007;23:28-31.
- Nowak R, Rekas M, Gospodarowicz IN, et al. Long-term outcomes of primary transcanalicular laser dacryocystorhinostomy. Graefes Arch Clin Exp Ophthalmol 2021;259:2425:30.
- Eroğul Ö, Eryiğit Eroğul L, Doğan M, ve ark. Edinsel Nazolakrimal Kanal Tıkanıklığı Olan Olgularda Eksternal Dakriosistorinostomi Ve Transkanalikuler Multidiod Lazer Dakriosistorinostomi Sonuçlarının Karşılaştırılması. Acta Medica Alanya 2017;1:67-71.
- Zor KR, Demir ND, Aksoy AH, ve ark. Transkanaliküler Multidiod Dakriosistorinostomi ve Eksternal Dakriosistorinostomi Cerrahilerinin Sonuçları. Turk J Ophthalmol 2014;44:31-4.
- Vatansever M, Aydın E, Dinç E, et al. Endoscopic endonasal dacryocystorhinostomy learning curve. Arq Bras Oftalmol 2022;85:223-8.
Askılanmış anterior U Flep tekniğiyle yapılan eksternal dakriyosistorinostomi sonuçlarının değerlendirilmesi
Abstract
Amaç: Sunulan çalışmanın amacı askılanmış anterior tabanlı U flep tekniği ile opere edilen hastalardaki cerrahi sonuçlar ve komplikasyonların değerlendirilmesidir. Yöntem: Eylül 2019-Ocak 2022 tarihleri arasında epifora şikayeti ile kliniğimize başvuran ve lakrimal irrigasyon testi ile primer edinilmiş nazolakrimal kanal tıkanıklığı tanısı konulan, anterior askılanmış U flep tekniği ile eksternal dakriyosistorinostomi yapılan 103 hastanın 121 gözü çalışmaya dahil edildi. Anatomik başarı lakrimal irrigasyon testinde pasajın açık olması, fonksiyonel başarı ise epifora şikayetinin ortadan kalkması olarak kabul edildi. Bulgular: Çalışmaya dahil edilen hastaların 27’si (%26) erkek, 76’sı (%74) kadındı. Hastaların ortalama yaşı 57.05 ± 14.73 yıl iken ortalama takip süresi 13.41±3.7 ay idi. Ortalama cerrahi süresi ise 22±3.08 dakika idi. Cerrahi sırasında ve sonrasında ciddi bir komplikasyon ile karşılaşılmadı. 6. Ay sonuçları değerlendirildiğinde hastalarda %96 oranında anatomik ve fonksiyonel başarı sağlandı. Sonuç: Primer edinilmiş nazolakrimal kanal tıkanıklığında anterior U flep tekniği fonksiyonel başarıyı düşürmeden, cerrahi süreyi ve morbiditeyi azaltan etkili bir tedavi yöntemi olarak görünmektedir.
Keywords
Primer edinilmiş nazolakrimal kanal tıkanıklığı eksternal dakriyosistorinostomi anterior U flep tekniği
References
- Erdol H, Akyol N, İmamoğlu HI, et al. Long-term followw-up of external dacryocystorhinostomy and the factors, affecting its success. Orbit 2005;24:99-102.
- Toti A. Nuovo metodo conservatore di cura radicle delle suppurazoni croniche del sacco lacrimale (Dacriocistorinostomia). Clinica Moderna Firenze 1904;10:385-7.
- Bukhari AA. Meta-analysis of the effect of posterior mucosal flap anastomosis in primary external dacryocystorhinostomy. Clin Ophthalmol 2013;7:2281-5.
- Sobel RK, Aakalu VK, Wladis EJ, et al. A comparison of endonasal dacryocystorhinostomy and external dacryocystorhinostomy: A report by the American Academy of Ophthalmology. Ophthalmology 2019;126:1580-5.
- Rajabi MT, Shahraki K, Nozare A, et al. External versus Endoscopic Dacryocystorhinostomy for Primary Acquired Nasolacrimal Duct Obstruction. Middle East Afr J Ophthalmol 2022;29:1-6.
- Baldeschi L, Nardi M, Hintschich CR, et al. Anterior suspended flaps: a modified approach for external dacryocystorhinostomy. Br J Ophthalmol 1998;82:790-2.
- Tetikoglu M, Sagdik HM, Ozcura F, et al. Assessment of anterior suspended flaps modification for external dacryocystorhinostomy. J Craniofac Surg 2015;26:789-91.
- Kacaniku G and Begolli I. External dacryocystorhinostomy with and without suturing the posterior mucosal flaps. Medicinski Arhiv 2014;68:54–6.
- Khan FA, Yaqub MA, and Fayyaz M. The importance of excising or suturing the posterior mucosal flaps in external dacryocystorhinostomy. Pak J Ophthalmol 2010;26:69-72.
- Serin D, Alagöz G, Karslıoğlu S, et al. External dacryocystorhinostomy: Double-flap anastomosis or excision of the posterior flaps? Ophthalmic Plast Reconstr Surg 2007;23:28-31.
- Nowak R, Rekas M, Gospodarowicz IN, et al. Long-term outcomes of primary transcanalicular laser dacryocystorhinostomy. Graefes Arch Clin Exp Ophthalmol 2021;259:2425:30.
- Eroğul Ö, Eryiğit Eroğul L, Doğan M, ve ark. Edinsel Nazolakrimal Kanal Tıkanıklığı Olan Olgularda Eksternal Dakriosistorinostomi Ve Transkanalikuler Multidiod Lazer Dakriosistorinostomi Sonuçlarının Karşılaştırılması. Acta Medica Alanya 2017;1:67-71.
- Zor KR, Demir ND, Aksoy AH, ve ark. Transkanaliküler Multidiod Dakriosistorinostomi ve Eksternal Dakriosistorinostomi Cerrahilerinin Sonuçları. Turk J Ophthalmol 2014;44:31-4.
- Vatansever M, Aydın E, Dinç E, et al. Endoscopic endonasal dacryocystorhinostomy learning curve. Arq Bras Oftalmol 2022;85:223-8.
Details
| Primary Language | Turkish |
|---|---|
| Subjects | Health Care Administration |
| Journal Section | Articles |
| Authors | |
| Early Pub Date | August 1, 2023 |
| Publication Date | August 17, 2023 |
| Submission Date | March 20, 2023 |
| Acceptance Date | July 12, 2023 |
| Published in Issue | Year 2023 Volume: 16 Issue: 2 |
Cite
MEU Journal of Health Sciences Assoc was began to the publishing process in 2008 under the supervision of Assoc. Prof. Gönül Aslan, Editor-in-Chief, and affiliated to Mersin University Institute of Health Sciences. In March 2015, Prof. Dr. Caferi Tayyar Şaşmaz undertook the Editor-in Chief position and since then he has been in charge.
Publishing in three issues per year (April - August - December), it is a multisectoral refereed scientific journal. In addition to research articles, scientific articles such as reviews, case reports and letters to the editor are published in the journal. Our journal, which has been published via e-mail since its inception, has been published both online and in print. Following the Participation Agreement signed with TÜBİTAK-ULAKBİM Dergi Park in April 2015, it has started to accept and evaluate online publications.
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