Investigation of effectiveness of surgical treatment of chronic dacryocystitis - endonasal dacryocystorhinostomy.
DOI:
https://doi.org/10.26641/2307-0404.2017.3.111928Keywords:
Endonasal dacryocystorhinostomy, chronic dacryocystitisAbstract
Prolonged and continuous lacrimation (symptom of epiphora) causes discomfort, inclination to conjunctiva infect, reduces visual acuity and ultimately the quality of life of the patient. Despite the fact that there is a large number of various surgical interventions to restore tearing in patients with chronic dacryocystitis, the problem of lacrimation remains relevant. We have studied the operation of endonasal dacryocystorhinostomy and its long-term consequences. Surgical intervention in endonasal dacryocystorhinostomy is aimed at eliminating lacrimation by eliminating stenosis and forming a new combination of the cavity of the laryngeal canal with the nasal cavity, as well as the sanation of purulent foci of infection in the throat. There were 8 surgical interventions. Period of observation of patients in the postoperative period by ophthalmologist and ENT-doctor is from 1.5 to 2 years. The evaluation of the result was carried out in 6 months or more after the operation. A complete recovery with the recovery of the tear excretion in the nasal cavity has been achieved in all patients. The formed rhinostoma was wide, well functioning. Thus, endonasal dacryocystorhinostomy is a highly effective and should be a method of choice for inflammation of the lacrimal sac at any stage of development.
References
1. Abdulkerimov KhT. [Endoscopic operations in the treatment of dacryocystitis]. EuroAsian Conf. on ophthalmic surgery, 3rd: Materials. Ekaterinburg. 2003;25. Russian.
2. Avetisov SE, Egorova EA, Moshetova JIK, Neroev VV, Tahchidi HP. [Ophthalmology: National leadership]. Moskva, GEOTAR-Media. 2008;944. Russian.
3. Aznabayev MT. [Laser dacryocystorhinostomy]. Ufa Scientific Research Institute of Eye Diseases of the Academy of Sciences of the Republic of Belarus. 2005;152. Russian.
4. Askerova SM. [ Complex surgical treatment of primary and induced pathology of tear system: Abstract. dis. Dr. med. Sciences]. Moskva. 2005;52. Russian.
5. Askerova SM. [Long-term results of gentle dacryocystorhinostomy and dacrioductorinostomy according to Sultanov]. Modern methods of diagnosis and treatment of diseases of tear organs: Scientific-practical. Moskva. 2005;40-41. Russian.
6. Bastrikov NI. [Diseases of tear organs and ways to treat them]. Rustov-na-Donu, Phoenix. 2007;256. Russian.
7. Beloglazov VG. [ Alternative options for restoring the patency of the tear ducts]. Vestn. ophthalmology. 2006;1:8-12. Russian.
8. Govorun MI. [Gentle technology of surgical treatment of pathology of lacrymation]. Modern methods of diagnosis and treatment of diseases of tear organs: Scientific and practical. Moskva. 2005;640. Russian.
9. Kataev MG. [External dacryocystorhinostomy]. Modern methods of diagnosis and treatment of diseases of tear organs: Scientific-prakg., Moskva. 2005;121-6. Russian.
10. Korayev OA. [Ophthalmology: subordinate eye formation]. Rostov-na-Donu: Phoenix, 2007;413.Russian.
11. Krasnozhyon VN. [Application of new technologies in the treatment of pathology of tear ducts]. Kazan. 2005;40. Russian.
12. Kuznetsov MV. [Perfection of diagnostics and endonasal endoscopic surgery in case of impassability of lacrimal ducts] [dissertation].Kursk. 2004;123. Russian.
13. Maychuk DYu. [Pathogenetic substantiation of treatment and prevention of secondary disturbances of tear formation] [dissertation]. 2005;54. Russian.
14. Nosulya EV, Matzenko BP. [Endoscopic technologies in surgical treatment of dacryocystitis]. Bulletin of the All-Union Scientific Center of the Siberian Branch of the Russian Academy of Medical Sciences. 2004;2:256-9. Russian.
15. Obodov VA. [Videoendoscopic technologies of treatment of dacryocystitis]. Euro-Asian Conf. on ophthalmic surgery, 5th: Materials. Ekaterinburg. 2009;222-224. Russian.
16. Obodov VA, Borzenkova ES. [Combined endosurgical metro treatment of obstruction of the tear ducts]. Euroasian Conf. on ophthalmic surgery, 4th: Materials. -Ekaterinburg, 2006;153-4. Russian.
17. Filatova IA. [Conservative treatment of strictures and atresias of tear ducts]. Ophthalmology. 2006;3(4):61-65. Russian.
18. Cherkunov BF. [Diseases of lacrimal organs]. Samara. 2001;252-9. Russian.
19. Chinenov IM. [Endonasal dacryocystorhinostomy in children with disturbance of tear diversion]. Proliferative syndrome in ophthalmology: Sat. scientific. works. Moskva. 2010;115-6.
20. Codere F, Denton P, Corona J. Endonasal dacryocystorhinostomy: a modified technique with preservation of the nasal and lacrimal mucosa. Ophthal. Plast. Reconstr. Surg. 2010;26(3):161-4.
21. Fayet B, Racy E, Assouline M. Complications of standardized endonasal dacryocystorhinostomy with unciformectomy. Ophthalmolody. 2004;111(4):837-45.
22. Cheng A, Wong A, Sze A, et al. Limited nasal septoplasty by ophthalmologists during endonasal dacryocystorhinostomy: is it safe? Ophthal. Plast. Reconstr. Surg. 2009;25(4):293-5.
23. Olver J. Colour Atlas of Lacrimal Surgery. London. 2002;117-26.
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