Document Detail


The success rate of external dacryocystorhinostomy.
MedLine Citation:
PMID:  20380132     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
PURPOSE: To compare the success rate of external dacryocystorhinostomy with and without silicone intubation. METHODS: This study included 129 patients with lacrimal drainage system disorders who underwent the external dacryocystorhinostomy and divided in two groups depending on whether silicone intubation was used during the surgery or not. Forty one DCR's were performed with intubation and 88 without. The data was analysed using the average, standard deviation, variation coefficient, and the statistical significance was determined using t-test. RESULTS: The mean age of the patients was 38.0 +/- 14.6SD years, including 97 females and 32 males. The mean duration of tubes was 5.2 +/- 0.8SD months. The mean time of follow-up was 14.7 +/- 3.5SD months. Intraoperative complications were present more frequently in the group without intubation 19.3% compared to 12.2% in the group with intubation (p > 0.05). The postoperative complication was closure of the anastomosis, less frequent in the group with intubation 4.9% compared to 12.5% in the group without intubation (p > 0.05). The success rate was evaluated by lacrimal patency to irrigation and relief of epiphora. Patency was achieved in 89.9% of cases, whereas epiphora recurred in 10.1% of cases. By groups, patency in the group with intubation was higher 95.1% compared to 87.5% in the group without intubation (p > 0.05). CONCLUSION: Our findings suggest that success rate was higher in dacryocystorhinostomy with silicone intubation, although results were not statistically significant. Prospective studies involving larger patient numbers are required to confirm this beneficial effect of silicone intubation.
Authors:
Gazmend Ka?aniku; Kelmend Spahiu
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Medicinski arhiv     Volume:  63     ISSN:  0350-199X     ISO Abbreviation:  Med Arh     Publication Date:  2009  
Date Detail:
Created Date:  2010-04-12     Completed Date:  2010-05-11     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0400722     Medline TA:  Med Arh     Country:  Bosnia and Hercegovina    
Other Details:
Languages:  eng     Pagination:  288-90     Citation Subset:  IM    
Affiliation:
Eye Clinic, University Clinical Center of Kosova, Prishtina, Republic of Kosova. gazmendk58@yahoo.com
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Aged
Child
Dacryocystorhinostomy* / adverse effects,  methods
Female
Humans
Intraoperative Complications
Intubation
Lacrimal Duct Obstruction / surgery
Male
Middle Aged
Young Adult

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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