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窑Clinical Research窑
Outcomes of endoscopic endonasal dacryocysto rhinostomy for intractable lacrimal dacryostenosis and associated factors
Department of Otolaryngology, Aichi Medical University, 1-1 Yazakokarimata, Nagakute, Aichi 480-1195, Japan 2 Department of Otolaryngology, Tono Kosei Hospital, 76-1 Toki-cho, Mizunami, Gifu 509-6101, Japan 3 Division of Biostatistics, Clinical Research Center, Aichi Medical University, 1-1 Yazakokarimata, Nagakute, Aichi 480-1195, Japan 4 Department of Ophthalmology, Tono Kosei Hospital, 76-1 Toki-cho, Mizunami, Gifu 509-6101, Japan Correspondence to: Tohru Tanigawa. Department of Otolaryngology, Aichi Medical University, 1-1 Yazakokarimata, Nagakute, Aichi 480-1195, Japan.
[email protected] Received: 2015-07-30 Accepted: 2016-01-30 1
Abstract
·AIM: To examine the effects of patient age, canalicular obstruction,
mode
of
anesthesia,
and
duration
of
nasolacrimal intubation on the outcomes of endoscopic endonasal dacryocystorhinostomy (DCR).
·
METHODS: Totally 56 eyes of 46 patients with
prolonged
endoscopic
epiphora
endonasal
underwent DCR.
A
minimally
successful
invasive surgical
outcome was defined as a significant improvement in symptoms, adequate water passage from the puncta to the nasal cavity, and patency of the DCR ostium. All outcomes were assessed at least 6mo after extubation.
Fisher's exact test was used to discuss the factors, and
then the logistic regression analysis was made by SAS 9.4 software.
· RESULTS:
The overall success rate was 75.0% , and
complete resolution was observed in 27 eyes. The success rate was higher
for
patients with
逸6mo
intubation than for those with 6mo. [20] Farzampour reported a significant difference in outcomes between patients intubated for 6mo and those [7] intubated for