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The long-term outcomes of transcanalicular diode laser-assisted endoscopic dacryocystorhinostomy in isolated nasolacrimal duct obstruction    
Yazarlar
Dr. Öğr. Üyesi Mehmet Cem SABANER Dr. Öğr. Üyesi Mehmet Cem SABANER
Türkiye
Orhan Kemal Kahveci
Türkiye
Reşat Duman
Türkiye
Mehmet Akif Erol
Türkiye
Ersan Çetinkaya
Türkiye
Kenan Yiğit
Türkiye
Güliz Fatma Yavaş
Türkiye
Rahmi Duman
Türkiye
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.
Anahtar Kelimeler
Makale Türü Özgün Makale
Makale Alt Türü Ulusal alan endekslerinde (TR Dizin, ULAKBİM) yayımlanan tam makale
Dergi Adı Gulhane Medical Journal
Dergi ISSN 1302-0471
Dergi Tarandığı Indeksler TR DİZİN
Makale Dili İngilizce
Basım Tarihi 09-2021
Cilt No 63
Doi Numarası 10.4274/gulhane.galenos.2020.1300
Makale Linki http://dx.doi.org/10.4274/gulhane.galenos.2020.1300