Nasal flap preservation in endoscopic dacryocystorhinostomy for nasolacrimal duct obstruction

作     者：Marianne Romanos Charbel Medawar Souheil Hallit Bassam Romanos 

作者机构：School of Medicine and Medical SciencesHoly Spirit University of KaslikP.O.Box 446JouniehLebanon Department of OphtalmologyEye and Ear Hospital InternationalNaccacheLebanon Applied Science Research CenterApplied Science Private UniversityAmman 11937Jordan 

出 版 物：《International Journal of Ophthalmology(English edition)》 (国际眼科杂志（英文版）)

年 卷 期：2024年第17卷第9期

页      面：1633-1638页

核心收录：

学科分类：1002[医学-临床医学] 100212[医学-眼科学] 10[医学] 

主　　题：nasolacrimal duct obstruction endoscopic dacryocystorhinostomy mucosal flap 

摘      要：AIM:To compare surgical outcomes between the conventional endoscopic dacryocystorhinostomy(DCR)and a modified endoscopic DCR for the treatment of nasolacrimal duct obstruction(NLDO),and evaluate factors associated with the surgical success ***:Medical records of patients who underwent primary DCR surgery between January 2016 and July 2020 at the Otorhinolaryngology Department of Eye and Ear International Hospital,Lebanon were ***:The study group consisted of 50 consecutive modified endoscopic DCR and the control group consisted of 138 consecutive conventional endoscopic *** success rates at 1y were 98.0%(49 out of 50)for modified DCR,significantly higher compared to 84.8%(117/138)for the conventional DCR;there was no significant difference in the success rate throughout the years in terms of both surgical *** modified surgery vs traditional[adjusted odds ratio(aOR)=14.96]and having an adjunctive septoplasty surgery vs not(aOR=3.99)were significantly associated with higher odds of ***:Mucosal flap preservation and apposition shows significant improvement in the surgical success ***,there is no statistically significant difference found in terms of complication rate and mean operative time between the conventional and the modified techniques.