Pediatric endocanalicular diode laser dacryocystorhinostomy: results of a minimally invasive surgical technique |
| |
Authors: | ?smail Önder Uysal Muammer Özçimen Halil ?brahim Yener Ali Kal |
| |
Institution: | 1.Department of Otolaryngology,Cumhuriyet University School of Medicine, Cumhuriyet üniversitesi T?p Fakültesi,Sivas,Turkey;2.Aknet Eye Hospital,Konya,Turkey;3.Department of Ophthalmology,Baskent University Hospital,Konya,Turkey |
| |
Abstract: | The purpose of this study was to evaluate the effectiveness of endocanalicular diode laser dacryocystorhinostomy (DCR), which
is a minimally invasive surgical technique, in pediatric patients with congenital nasolacrimal duct obstruction (NLDO). A
retrospective study was carried out on patients treated between October 2008 and August 2009 for nasolacrimal duct obstruction
with an endocanalicular diode laser procedure. Patients diagnosed as having nasolacrimal duct obstruction were included in
this study and an endocanalicular diode laser procedure was performed. The main outcome measures were patients’ previous treatments,
clinical presentation, operative and postoperative complications, postoperative follow-up and resolution of epiphora. Eighteen
children (10 girls, 8 boys) with a mean age of 6.11 ± 2.08 years (range, 4–10) underwent 20 endocanalicular laser DCR operations
for congenital NLDO. In all eyes (100%), there was a history of epiphora and chronic dacryocystitis; two (10%) presented with
acute dacryocystitis. Previous procedures included probing and irrigation of all eyes (100%) and silicone tube intubation
in nine eyes (45%). None of the patients underwent any previous DCR operations. During a mean postoperative follow-up period
of 20.50 ± 3.24 months (range, 14–24 months), the anatomical success rate (patency of ostium on nasal endoscopy) was 100%,
and the clinical success rate (resolution of epiphora) was 85%. Endocanalicular diode laser DCR is an effective treatment
modality for pediatric patients with congenital NLDO that compares favorably with the reported success rates of external and
endoscopic endonasal DCR. Moreover, it has an added advantage of shorter operative time, less morbidity and avoidance of overnight
admission. |
| |
Keywords: | |
本文献已被 SpringerLink 等数据库收录! |
|