The long-term outcomes of transcanalicular diode laserassisted endoscopic dacryocystorhinostomy in isolated nasolacrimal duct obstruction
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Tarih
2021
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info:eu-repo/semantics/openAccess
Özet
Aims: To evaluate the long-term surgical success of transcanalicular dacryocystorhinostomy(TCDCR) with diode-laser in the treatment of epiphora due to isolated naive nasolacrimal ductobstruction (NLDO) in adults.Methods: This retrospective study included patients with isolated naive NLDO, who underwentdiode laser-assisted TCDCR. No patients had pathology in the nasal region detected by anotorhinolaryngologist. The included patients had documented information about epiphoraevaluation with lacrimal system irrigation with fluorescein dye, and annual direct imaging ofosteotomy patency with nasal endoscopy. Success was defined as no postoperative epiphora,conjunctivitis or dacryocystitis, an open passage in the lacrimal system lavage, and patientsatisfaction.Results: The study included 116 patients [mean age: 49.6±11.4 years, female: 67 (57.8%)]. Thesuccess rate was 84.5% in the first year, 80.2% in the second year, and 76.7% in the third year.Following the operation, 9 (7.8%) patients had epiphora, 8 (6.9%) patients were not satisfied,and 1 (0.8%) patient developed conjunctivitis/dacryocystitis in the first year. Three (2.6%)patients had dissatisfaction and 2 (1.7%) patients had the complaints of epiphora correlatedwith nasolacrimal lavage obstruction in the second year. Two (1.7%) patients were dissatisfiedand 2 (1.7%) patients had epiphora complaints confirmed with nasolacrimal lavage in the thirdyear.Conclusions: The present study showed that the treatment of epiphora due to isolated NLDOwith diode laser-assisted TCDCR can provide long-term success in major outcomes in adultpatients.
