Advances in Clinical and Experimental Medicine

Title abbreviation: Adv Clin Exp Med
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ISSN 1899–5276 (print)
ISSN 2451-2680 (online)
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Advances in Clinical and Experimental Medicine

2009, vol. 18, nr 5, September-October, p. 501–506

Publication type: original article

Language: English

External Dacryocystorhinostomy in the Treatment of Congenital and Acquired Lacrimal Duct Stenoses

Dakryocystorynostomia zewnętrzna w leczeniu wrodzonej i nabytej niedrożności dróg łzowych

Piotr Wójcicki1,2,, Ireneusz Siewiera2,

1 Plastic Surgery Clinic, Wroclaw Medical University, Poland

2 Department of Plastic Surgery, Specialistic Medical Centre, Polanica Zdrój, Poland

Abstract

Background. The surgical treatment of lacrimal duct stenosis consists of the formation of a fistula between the lacrimal sac and the nasal passage, which facilitates the outflow of tears.
Objectives. The aim of the study was to evaluate the efficacy of dacryocystorhinostomy (DCR) with the external approach depending on the etiology of the defect.
Material and Methods. Fifty−four patients 3–70 years of age with lacrimal duct obstruction were treated at the Clinic of Plastic Surgery in Polanica Zdrój. In 19 patients the lactimal duct defect was congenital and in 35 it was a consequence of injury or tumor. A total of 65 dacryocystorhinostomies with the external approach were performed.
Results. The efficacy of dacryocystorhinostomy was 83.3%. In the patients with a congenital etiology it was 84.2% and in the group with an acquired defect 82.9%.
Conclusion. External dacryocystorhinostomy appears a highly safe and effective method. In combination with other reconstruction methods, it has advantageous over endoscopic methods especially in cases of an acquired defect.

Streszczenie

Wprowadzenie. Chirurgiczne leczenie niedrożności dróg łzowych polega na wytworzeniu przetoki między woreczkiem łzowym a przewodem nosowym umożliwiającej odpływ łez.
Cel pracy. Ocena skuteczności zabiegów dakryocystorynostomii (DCR) z dostępu zewnętrznego w zależności od etiologii schorzenia.
Materiał i metody. WKlinice Chirurgii Plastycznej w Polanicy Zdroju leczono 54 pacjentów z niedrożnością dróg łzowych w wieku 3–70 lat. U 19 chorych przyczyną niedrożności dróg łzowych były wady wrodzone, a u 35 chorych następstwa urazów i chorób nowotworowych. Wykonano 65 zabiegów DCR z dostępu zewnętrznego.
Wyniki. Skuteczność dakryocystorynostomii wyniosła ogółem 83,3%, w tym w grupie o etiologii wrodzonej 84,2%, a w grupie o etiologii nabytej 82,8%.
Wnioski. Dakryocystorynostomia z dostępu zewnętrznego jest zabiegiem skutecznym i bezpiecznym. W połączeniu z innymi metodami rekonstrukcyjnymi ma niewątpliwą przewagę nad metodami endoskopowymi, zwłaszcza w przypadkach o etiologii nabytej.

Key words

dacryocystorhinostomy, DCR, lacrimal duct stenoses

Słowa kluczowe

dakryocystorynostomia zewnętrzna, DCR, niedrożność dróg łzowych

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