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코경유 눈물주머니코안연결술시 코패킹 물질로 사용한 Nasopore;의 임상적 결과

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영문명: Clinical Results of Nasopore; Nasal Packing on Endonasal Dacryocystorhinostomy
발행기관: 대한안과학회
저자명: 백지선 장선영 박태성 장재우 최혜선,Ji Sun Baek, MD, Sun Young Jang, MD, Tae Seong Park, MD,Jae Woo Jang, MD, Hye Sun Choi, MD
간행물 정보: 『대한안과학회지』Ophthalmological Society,volume54,number4, 557~561쪽, 전체 5쪽
주제분류: 의약학 > 기타의약학
파일형태: PDF
발행일자: 2013.04.30

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국문 초록

영문 초록

Purpose: To investigate the effects of Nasopore^{Ⓡ as a nasal packing material on the surgical success rate and prevalence of postoperative complications after endonasal dacryocystorhinostomy (DCR). Methods: The present study included a total of 558 patients (699 eyes) with primary acquired nasolacrimal duct obstruction who underwent endonasal DCR; 227 eyes were packed with Nasopore^{Ⓡ and 472 eyes were packed with Merocel^{Ⓡ. The surgical success rate and postoperative complications such as synechiae, granulation, wound healing (osteal mucosal epithelium epithelialization), postoperative bleeding, infection, and revision rate were compared between the packing materials. Results: The surgical success rate of the Nasopore^{Ⓡ group (99.1%, 98.6%) showed significantly better results than the Merocel^{Ⓡgroup (97.2%, 95.1%) at postoperative 1 and 3 months (p = 0.04, 0.03 Pearson chi-square test), whereas there was no statistically significant difference between the 2 groups in postoperative surgical success rate at 1 week and 6 months. In comparison of postoperative complications, the Nasopore^{Ⓡ group (0%) showed a lower incidence of delayed wound healing (delayed epithelialization of osteal mucosal epithelium) than the Merocel^{Ⓡ group (2.3%; p = 0.013), whereas there was no difference in granulation, synechiae, postoperative bleeding, infection and revision rate (p > 0.05). Conclusions: The Nasopore^{Ⓡ group showed a lower proportion of delayed wound healing and improvement of the surgical success rate at an early postoperative period after endonasal DCR compared to non-absorbable nasal packing material.}}}}}}}}