The Effectiveness of Postoperative Early Ostium Cleaning in Transcanalicular Diode Laser–Assisted Dacryocystorhinostomy
- Resource Type
- Authors
- Adem Gül; Muammer Ozcimen; Halil İbrahim Yener; Cagatay Caglar
- Source
- Ophthalmic Plastic & Reconstructive Surgery. 30:476-479
- Subject
- Adult
Male
Suction (medicine)
medicine.medical_specialty
medicine.medical_treatment
Dacryocystorhinostomy
Suction
Acquired dacryostenosis
Restenosis
Humans
Medicine
Local anesthesia
Aged
Retrospective Studies
Postoperative Care
business.industry
[Belirlenecek]
Endoscopy
General Medicine
Middle Aged
Laser assisted
medicine.disease
eye diseases
Single surgeon
Surgery
Ophthalmology
Ostium
Treatment Outcome
Female
Lasers, Semiconductor
business
Nasolacrimal Duct
Anesthesia, Local
Follow-Up Studies
- Language
- ISSN
- 0740-9303
Purpose: To search the effectiveness of postoperative first week ostium cleaning in transcanalicular diode laser-assisted dacryocystorhinostomy (TDL-DCR). Materials and Methods: A total of 123 eyes of 123 patients with acquired dacryostenosis who had surgery were retrospectively evaluated. Diode laser was used in all patients. All patients were operated under local anesthesia by a single surgeon. Intranasal endoscopic cleaning of the ostium by surgical suction under local anesthesia was performed as an extra job in the postoperative first week visit. Results: Mean age of the patients was 55 (range, 41-78 years) years. Mean follow up was 13.4 months. Successful outcomes were achieved in 117 of 123 (95.1%) patients. Reoperation was performed in 6 patients with restenosis and were free of symptoms in 1-year follow up. Conclusion: Postoperative first week cleaning of the nasal ostium by surgical suction with the aiding of nasal endoscopy is a very effective method increasing the success rate of TDL-DCR. © 2014 The American Society of Ophthalmic Plastic and Reconstructive Surgery, Inc.