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Transcanalicular diode laser-assisted dacryocystorhinostomy
OBJECTIVE: We present a prospective, non-comparative case series study of 126 consecutive diode laser-assisted transcanalicular dacryocystorhinostomy (TCL-DCR) procedures on 122 patients. We analyzed success rate, procedure time and amount of laser energy needed for a 5 mm osteotomy. MATERIALS AND M...
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Formato: | Texto |
Lenguaje: | English |
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Medknow Publications
2010
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Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2886252/ https://www.ncbi.nlm.nih.gov/pubmed/20413924 http://dx.doi.org/10.4103/0301-4738.62646 |
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author | Drnovšek-Olup, Brigita Beltram, Matej |
author_facet | Drnovšek-Olup, Brigita Beltram, Matej |
author_sort | Drnovšek-Olup, Brigita |
collection | PubMed |
description | OBJECTIVE: We present a prospective, non-comparative case series study of 126 consecutive diode laser-assisted transcanalicular dacryocystorhinostomy (TCL-DCR) procedures on 122 patients. We analyzed success rate, procedure time and amount of laser energy needed for a 5 mm osteotomy. MATERIALS AND METHODS: One hundred and twenty-two patients with nasolacrimal duct obstruction were included in the study. The procedure was performed under general anesthesia, and the nasal mucosa was anesthetized. An endoscope was used for examination of the lacrimal pathways. The site of osteotomy was determined with transillumination of the lateral nasal wall. We achieved osteotomy by applying laser energy via an optic fiber. We used a 980 nm diode laser with power of 10 Watts. We inserted a bicanalicular silicone stent as the last step. Success of procedure was absence of epiphora (subjective), or patency of the lacrimal drainage system on irrigation (objective). RESULTS: We performed 126 successive endoscopic laser (EL-DCR) with bicanalicular intubation in 122 patients. The average procedure time was 12 min, and on average 245 Joules of laser energy was needed. The silicone stents were removed three to eight months after surgery. We observed absence of epiphora and a patent nasolacrimal duct on irrigation in 105 out of 126 treated eyes. Eighteen patients had epiphora despite a patent nasolacrimal duct on irrigation. This yields a success rate of 83.3%, with an average follow-up period of 12 months. CONCLUSIONS: The 980 nm EL-DCR with bicanalicular intubation is a new contribution to the field of lacrimal surgery. It is a minimally invasive quick procedure yielding a high success rate. |
format | Text |
id | pubmed-2886252 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2010 |
publisher | Medknow Publications |
record_format | MEDLINE/PubMed |
spelling | pubmed-28862522010-07-02 Transcanalicular diode laser-assisted dacryocystorhinostomy Drnovšek-Olup, Brigita Beltram, Matej Indian J Ophthalmol Original Article OBJECTIVE: We present a prospective, non-comparative case series study of 126 consecutive diode laser-assisted transcanalicular dacryocystorhinostomy (TCL-DCR) procedures on 122 patients. We analyzed success rate, procedure time and amount of laser energy needed for a 5 mm osteotomy. MATERIALS AND METHODS: One hundred and twenty-two patients with nasolacrimal duct obstruction were included in the study. The procedure was performed under general anesthesia, and the nasal mucosa was anesthetized. An endoscope was used for examination of the lacrimal pathways. The site of osteotomy was determined with transillumination of the lateral nasal wall. We achieved osteotomy by applying laser energy via an optic fiber. We used a 980 nm diode laser with power of 10 Watts. We inserted a bicanalicular silicone stent as the last step. Success of procedure was absence of epiphora (subjective), or patency of the lacrimal drainage system on irrigation (objective). RESULTS: We performed 126 successive endoscopic laser (EL-DCR) with bicanalicular intubation in 122 patients. The average procedure time was 12 min, and on average 245 Joules of laser energy was needed. The silicone stents were removed three to eight months after surgery. We observed absence of epiphora and a patent nasolacrimal duct on irrigation in 105 out of 126 treated eyes. Eighteen patients had epiphora despite a patent nasolacrimal duct on irrigation. This yields a success rate of 83.3%, with an average follow-up period of 12 months. CONCLUSIONS: The 980 nm EL-DCR with bicanalicular intubation is a new contribution to the field of lacrimal surgery. It is a minimally invasive quick procedure yielding a high success rate. Medknow Publications 2010 /pmc/articles/PMC2886252/ /pubmed/20413924 http://dx.doi.org/10.4103/0301-4738.62646 Text en © Indian Journal of Ophthalmology http://creativecommons.org/licenses/by/2.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Original Article Drnovšek-Olup, Brigita Beltram, Matej Transcanalicular diode laser-assisted dacryocystorhinostomy |
title | Transcanalicular diode laser-assisted dacryocystorhinostomy |
title_full | Transcanalicular diode laser-assisted dacryocystorhinostomy |
title_fullStr | Transcanalicular diode laser-assisted dacryocystorhinostomy |
title_full_unstemmed | Transcanalicular diode laser-assisted dacryocystorhinostomy |
title_short | Transcanalicular diode laser-assisted dacryocystorhinostomy |
title_sort | transcanalicular diode laser-assisted dacryocystorhinostomy |
topic | Original Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2886252/ https://www.ncbi.nlm.nih.gov/pubmed/20413924 http://dx.doi.org/10.4103/0301-4738.62646 |
work_keys_str_mv | AT drnovsekolupbrigita transcanaliculardiodelaserassisteddacryocystorhinostomy AT beltrammatej transcanaliculardiodelaserassisteddacryocystorhinostomy |