비강상태에 따른 비내시경적 누낭비강문합술의 결과 분석

• 영문명: Analysis of the Results Endonasal Dacryocystorhinostomy Related to Nasal Cavity State
• 발행기관: 대한안과학회
• 저자명: 백승국 하명숙,Seung Kook Baek, MD, Myung Sook Ha, MD
• 간행물 정보: 『대한안과학회지』Ophthalmological Society,volume55,number5, 633~639쪽, 전체 7쪽
• 주제분류: 의약학 > 기타의약학
• 파일형태: PDF
• 발행일자: 2014.05.15

영문 초록

Purpose: This study evaluated the relationship of nasal cavity state and surgical results after endonasal dacryocystorhinostomy (DCR).
Methods: We retrospectively analyzed 306 eyes of 204 patients between January 2007 and December 2011. The correlation between the existence of preoperative nasal cavity abnormality, postoperative nasal cavity complications after proper management of nasal cavity abnormality, and postoperative nasal cavity complications according to nasal packing material were investigated. We analyzed the success rates and the correlation between each set of factors.
Results: The success rate of primary operations performed six months after tube removal was 87.3% (267/306). The success rate after secondary revision, granuloma removal and punctoplasty was 90.5% (277/306). Postoperative nasal cavity complications were inspected in 40 eyes. Of the 306 eyes, patients treated with Nasopore showed significantly more postoperative nasal cavity complications (47.8%, 32/67) than in patients treated with Merocel (3.3%, 8/239). The rate of postoperative nasal cavity complications was 8.7% in patients with normal nasal cavity, 16.7% in patients who received treatment, and 20% in patients without treatment, with significant statistical increase if the nasal cavity was abnormal (p = 0.019). The incidence of complications influenced the primary success rate (p = 0.008); however, preoperative nasal cavity abnormalities were not correlated with primary success (p = 0.479).
Conclusions: In the case of endonasal DCR, preoperative nasal cavity abnormality and type of nasal packing material used did not affect the success rate but significantly affected postoperative nasal cavity complications. In conclusion, endonasal DCR with preoperative treatment of nasal cavity abnormality and Merocel packing is expected to reduce postoperative nasal cavity complications and increase patient satisfaction.
J Korean Ophthalmol Soc 2014;55(5):633-639

키워드

Endonasal dacryocystorhinostomy (DCR), Nasal cavity abnormality, Nasal packing, Nasolacrimal duct obstruction