다공성 폴리에틸렌으로 둘러싼 존스관을 이용한 120예의 결막누낭비강연결술의 5년간의 연구

• 영문명: Five-year Study of 120 Endoscopic Conjunctivodacryocystorhinostomy Using Porous Polyethylene-Coated Tear Drain
• 발행기관: 대한안과학회
• 저자명: 서일훈 이태수,Il Hun Seo, MD, Tae Soo Lee, MD, PhD
• 간행물 정보: 『대한안과학회지』Ophthalmological Society,volume50,number9, 1289~1294쪽, 전체 6쪽
• 주제분류: 의약학 > 기타의약학
• 파일형태: PDF
• 발행일자: 2009.09.15

영문 초록

Purpose: To evaluate the long-term surgical results of 120 endoscopic conjunctivodacryocystorhinostomy (CDCR) procedures using a porous polyethylene (MEDPOR^{Ⓡ) coated tear drain (MCTDⓇ). Methods: From 2002 to 2007, 120 patients who had been treated with endoscopic CDCR using MCTDⓇ were investigated for its success rates and complications. After an osteotomy was made under nasal endoscopy, a tunnel was created from the caruncle in the conjunctival sac to the nasal cavity through the newly created ostium, and then the tunnel was enlarged to allow the insertion of the MCTDⓇ The length of the tube to be inserted was determined under endoscopic examination. An anchoring suture was placed at the medial canthus to both the conjunctiva and the skin using a 5-0 Vicryl suture in the fashion of a purse string suture. Results: Causes of obstruction included failed dacryocystorhinostomy (DCR) (74 cases) and idiopathic obstruction (22 cases). Postoperative complications were encountered in four cases with tube loss, 21 cases with a buried tube, 8 cases of extrusion to the conjunctival side, and 11 cases with obstruction caused by conjunctival incarceration or granuloma. The postoperative success rate was 89.1%. Conclusions: The authors concluded that endoscopic CDCR using MCTDⓇ is an alternative to the standard conventional method for preventing dislodgement of the tube postoperatively. However, surgeons should consider that it may be challenging to insert the MCTDⓇ and that in cases requiring removal, the tube can be difficult to remove due to adhesions.}

키워드

Conjunctivodacryocystorhinostomy, MCTD, Porous polyethylene coated tear drainage tube