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Long-term outcomes of laser dacryoplasty combined with intubation using a new silicon tube in patients with lacrimal duct obstruction

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International Journal of Ophthalmology(English edition) 2023年第9期16卷 1475-1481页

作者： Yi-Meng Fan Xiu-Xia Yin Ning Gao Zhao Liu Department of Ophthalmology the First Affiliated Hospital of Xi’an Jiaotong UniversityXi’an 710061Shaanxi ProvinceChina Department of Ophthalmology Xi’an People’s Hospital(Xi’an Fourth Hospital)Xi’an 710061Shaanxi ProvinceChina

AIM:To determine the 15-year outcomes of laser dacryoplasty(LDP)in patients with lacrimal duct obstruction;and to evaluate LDP combined with intubation using a new silicone tube to treat complicated ***:Patients with lacrimal duct obstruction and treated with LDP between April 2000 and April 2005 were investigated *** 116 eyes with completed 15-year follow-up records were included in this *** complicated cases(52 eyes of 52 patients),both LDP and intubation using a self-made silicon tube were *** patients with uncomplicated obstruction(64 eyes of 61 patients),only LDP was *** were assessed based on results of lacrimal irrigation and degree of symptoms during ***:At the follow-up time of 15y,81 eyes achieved full success(69.8%);21 eyes got improved(18.1%);and 14 eyes were considered failure(12.1%).The success rate was 71.2%(37/52 eyes)for complicated cases;and 68.8%(44/64 eyes)for uncomplicated *** statistically significant difference between two groups was observed(P=0.961).No postoperative complication was ***:LDP is a well-tolerated,simple,and effective procedure with satisfactory long-term outcomes in selected patients,which make it a good alternative to conventional *** addition,intubation with the self-made mono-canalicular silicone tube facilitates the management of complicated cases with few complications.

关键词： laser dacryoplasty chronic dacryocystitis lacrimal duct obstruction

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New mucosal flap modification for endonasal endoscopic dacryocystorhinostomy in Asians

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International Journal of Ophthalmology(English edition) 2012年第6期5卷 704-707页

作者： Qing-Shan Ji Jing-Xiang Zhong Yun-Hai Tu Wen-Can Wu Department of Ophthalmology the First Affiliated Hospital of Jinan University Department of Orbital and Oculoplastic Surgery Eye Hospital of Wenzhou Medical College Wenzhou 325027

AIM: To describe a simple modification of fashioning the mucosal flap for endonasal endoscopic dacryocystorhinostomy (EES-DCR) in Asians and investigate its efficacy. METHODS: A total of 120 patients with unilateral primary chronic dacryocystitis (PCD) were randomized into two groups: the new shaped nasal mucosal flap group (group A) and the removed nasal mucosal flap group (group B). All patients underwent standard EES-DCR. Patients in group A were performed a new shaped nasal mucosal flap covering the bared bone around the opened sac and those in group B was removed the nasal mucosal flap uncovering the bared bone. Patients were followed up for one year. The occurrence of granulation tissue, the proliferation of scar tissue and success rate of EES-DCR was compared. RESULTS: In the present study, complete postoperative data were acquired from 54 patients in group A and from 57 patients in group B. During process of review, the occurrence of granulation tissue was at the ostium margins account for 15% (8/54) in group A and 39% (22/57) in group B (P<0.05). At the one-year review, scar tissue was present in 5 patients in group A compared with 18 in group B (P<0.05). The success rate of EES-DCR was 98% (53/54) in group A and 84% (48/57) in group B (P<0.05). CONCLUSION: The simple modification of fashioning nasal mucosal flap can effectively cover the bared bone around the opened sac and reduce formation of granulation tissue, lessen the risk of scar tissue formation and closure of ostium, thus improve the success rate of EES-DCR in Asians.

关键词： mucosal flap endonasal endoscopic dacryocystorhinostomy chronic dacryocystitis

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鼻内镜下鼻腔泪囊吻合术35例临床分析

鼻内镜下鼻腔泪囊吻合术35例临床分析

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中华中医药学会耳鼻喉科分会第15届学术交流会

作者：张治成郭向东李莹丁玲杨晓河南中医学院第一附属医院耳鼻喉科

目的:探讨应用鼻内窥镜经鼻腔泪囊吻合术治疗慢性泪囊炎的疗效。方法:回顾性分析了鼻内窥镜下鼻内泪囊腔开放术治疗的慢性泪囊炎35例（37眼）。结果:全部病例随访半年,治愈35眼,好转2眼,有效率达100%。结论:鼻内窥镜下鼻内泪囊鼻腔吻合... 详细信息

目的:探讨应用鼻内窥镜经鼻腔泪囊吻合术治疗慢性泪囊炎的疗效。方法:回顾性分析了鼻内窥镜下鼻内泪囊腔开放术治疗的慢性泪囊炎35例（37眼）。结果:全部病例随访半年,治愈35眼,好转2眼,有效率达100%。结论:鼻内窥镜下鼻内泪囊鼻腔吻合术视野清楚、损伤小、出血少、而部无瘫痕,可以同期处理相关的鼻腔病变、效果好、复发率低、是治疗慢性化脓性泪囊炎的较佳术式。

关键词： Intranasal endoscope chronic dacryocystitis dacryocystorhinostomy Treatment

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