Endoskopowa dacryocystorhinostomia w leczeniu nabytej niedrożności przewodu nosowo-łzowego.Część II. Analiza materiału klinicznego
Endoscopic Dacryocystorhinostomy in the Treatment of Acquired Nasolacrimal Duct Obstruction. Part II. Clinical Materiale Analysis
Iwona Obuchowska1, Andrzej Sieśkiewicz2, Zofia Mariak1, Marek Rogowski2
1 Klinika Okulistyki Uniwersytetu Medycznego w
Kierownik: prof. dr hab. n. med. Zofia Mariak
2 Klinika Otolaryngologii Uniwersytetu Medycznego w Białymstoku
Kierownik: prof. dr hab. n. med. Marek Rogowski
Summary: Purpose: The aim of our study was to determine the results and complications of endoscopic dacrocystorhinostomy (DCR) performed in patients with postsaccal stenosis of lacrimal pathways. Material and methods: The study included 16 patients (13 women and 3 men) with unilateral epiphora, who were admitted to the Department of Otolaryngology Medical University in Bialystok for the nasolacrimal duct obstruction surgery. The level of obstruction in the lacrimal drainage system was confirmed by an irrigation of the lacrimal pathways. In all patients endoscopic DCR with mucosal flap were performed. Results: The follow-up period was 6 to 18 months after surgery. The procedure was successful in 87.5% of cases. A lower intraoperative complications (bleeding and painful surgery) was observed in two patients. In this two person restenosis was found 2 months after DCR. Conclusion: Endoscopic DCR is safe and successful method of treatment in patients with acquired nasolacrimal duct obstruction. The success rate of DCR depends on proper patients qualification and precision in surgical technique.
Keywords: endoscopic dacryocystorhinostomy, nasolacrimal duct obstruction.