KBB-Forum 2004 , Cilt 3, Sayı 3


Dr. Ebru TAŞ1, Dr. Mesut DOĞAN2, Dr. Yusuf EREN1, Dr. Şükran VURAL1, Dr. Ali Okan GÜRSEL1
1Bakırköy Dr. Sadi Konuk Eğitim ve Araştırma Hastanesi, KBB, İstanbul, Türkiye
2Avusturya St George Hospital, KBB, İstanbul, Türkiye
Described in 1904 and modified later external dacryocystorhinostomy (ExDCR) has been accepted as a standard surgical technique in the treatment of obstructions in the lacrimal drainage system. Although intranasal approach was reported 11 years before this description, this approach was not put into practice as a routine application because of some technical difficulties encountered at that time. The risk of injury to the medial canthal ligament and lacrimal pump mechanism, the need for skin incision in ExDCR as well as recent technical developments in nasal endoscopy have again brought the endonasal dacryocystorhinostomy (EDCR) into agenda because of some superiorities such as low risk of surgical trauma, achievement of intraoperative hemostasis, decreased postoperative morbidity, and elimination of skin incision resurrected.

Objective: In this study our purpose is to evaluate the results of follow-up time for the patients who were operated by endoscopic endonasal dacryocystorhinostomy and bicanallicular sillicone tube intubation.

Pateients and Method: 32 patients who had been operated for chronic dacryocystitis were evaluated. 22 (69%) of 32 patients were female and 10 (31%) were male. Mean age was 43,3 (8-67 year). Postoperative follow-up time was 38,4 months (6-60 months).

Results: Success rates were 87% in primary EDCRs and increased to 96% by revision EDCRs.

Conclusion: The method is found to be very useful since its duration was short, enables the direct visualization of intranasal pathologies of lacrimal system, leaves no cutaneous scar and is tolerated well by the patients. Keywords : Endoskopik endonazal dakriosistorinostomi, kronik dakriosistit