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Intranasal Otological T-Tube Application to the Lacrimal Sac in Endoscopic Dacryocystorhinostomy
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Original Article
VOLUME: 45 ISSUE: 2
P: 60-64
April 2015

Intranasal Otological T-Tube Application to the Lacrimal Sac in Endoscopic Dacryocystorhinostomy

Turk J Ophthalmol 2015;45(2):60-64
DOI: 10.4274/tjo.78309
Kadri Cemil Apaydın 1
Bülent Veli Ağırdır 2
Hatice Deniz İlhan 1
Serkan Yağcı 3
Koray Ahat 4
Çağrı Açıkgöz 5
1. Akdeniz Üniversitesi Tip Fakültesi, Göz Hastaliklari Anabilim Dali, Antalya, Türkiye\R\N
2. Akdeniz Üniversitesi Tip Fakültesi, Kulak Burun Bogaz Anabilim Dali, Antalya, Türkiye
3. Atatürk Devlet Hastanesi, Sinop, Türkiye\R\N
4. Adiyaman Devlet Hastanesi, Göz Hastaliklari Klinigi, Adiyaman, Türkiye
5. Dr. Lütfi Kirdar Egitim Ve Arastirma Hastanesi, Istanbul, Türkiye\R\N
No information available.
No information available
Received Date: 29.12.2013
Accepted Date: 01.09.2014
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ABSTRACT

Objectives:

To discuss the results of endoscopic dacryocystorhinostomy combined with otological silicon T-tube stent insertion.

Ma­te­ri­als and Met­hods:

The records of the patients who have undergone endoscopic dacryocystorhinostomy combined with otological T-tube stent application by co-operating of Otorhinolaryngology and Ophthalmology Departments in Akdeniz University between 2007 and 2010 were evaluated retrospectively. Patients’ demographics, complaints of the patients, complications, aperture of the nasolacrimal canal in the postoperative period, duration of the removal or dislocation time of the tubes, postoperative medical treatment or revision surgery were recorded.

Re­sults:

Thirty-seven patients (27 female/10 male) were included in this study. Both eyes of a patient were operated at different times. Mean follow-up period was 8.6±8.3 months. Epiphora, swelling, and ocular discharge were the most frequent complaints observed in 11 of 38 eyes (28.9%) in the postoperative period. Two of these eyes could be treated with medication, but 9 eyes (23.7%) required surgical revision. In terms of the lack of revision requirement, the success rate was found to be 76.3%.

Conclusion:

Endoscopic dacryocystorhinostomy combined with otological silicon T-tube stent application can be used as an alternative procedure for especially distal part obstructions in the nasolacrimal system; the advantages are no canalicular trauma and less granulation risk.