Cargando…

A Modified Preserved Nasal and Lacrimal Flap Technique in Endoscopic Dacryocystorhinostomy

Here we describe a modified preserved nasal and lacrimal mucosal flap technique in endonasal endoscopic dacryocystorhinostomy (EES-DCR) for patients with epiphora secondary to primary acquired nasolacrimal duct obstruction (PANDO) and evaluate its outcomes. Twenty-five patients with PANDO were retro...

Descripción completa

Detalles Bibliográficos
Autores principales: Peng, Wenyan, Tan, Bowei, Wang, Yandong, Wang, Haiying, Wang, Zhonghao, Liang, Xuanwei
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Nature Publishing Group UK 2017
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5533767/
https://www.ncbi.nlm.nih.gov/pubmed/28754905
http://dx.doi.org/10.1038/s41598-017-07364-9
_version_ 1783253664201179136
author Peng, Wenyan
Tan, Bowei
Wang, Yandong
Wang, Haiying
Wang, Zhonghao
Liang, Xuanwei
author_facet Peng, Wenyan
Tan, Bowei
Wang, Yandong
Wang, Haiying
Wang, Zhonghao
Liang, Xuanwei
author_sort Peng, Wenyan
collection PubMed
description Here we describe a modified preserved nasal and lacrimal mucosal flap technique in endonasal endoscopic dacryocystorhinostomy (EES-DCR) for patients with epiphora secondary to primary acquired nasolacrimal duct obstruction (PANDO) and evaluate its outcomes. Twenty-five patients with PANDO were retrospectively reviewed. Modified preserved nasal and lacrimal mucosal flap technique in EES-DCR was applied in all 27 eyes of 25 patients. The patients were evaluated with objective (anatomical patency) and subjective (symptomatic cure) success rates within the duration of follow-up. In the present study, all of the patients’ surgical procedures were successful. There were 2 cases of flap dislocation from the rhinostomy site 1 week post-operation. After a mean follow-up of 4.9 ± 1.8 months, the success rate of anatomical patency was 100% (27/27) and the success rate of symptomatic cure was 92.6% (25/27). No significant complications occurred intraoperatively. We concluded that the modified preserved nasal and lacrimal mucosal flap technique in EES-DCR for treating PANDO is simple and safe, can effectively cover the bare bone around the opened sac, and provide a similar or even better clinical outcome compared with other routine treatment techniques used for this condition.
format Online
Article
Text
id pubmed-5533767
institution National Center for Biotechnology Information
language English
publishDate 2017
publisher Nature Publishing Group UK
record_format MEDLINE/PubMed
spelling pubmed-55337672017-08-03 A Modified Preserved Nasal and Lacrimal Flap Technique in Endoscopic Dacryocystorhinostomy Peng, Wenyan Tan, Bowei Wang, Yandong Wang, Haiying Wang, Zhonghao Liang, Xuanwei Sci Rep Article Here we describe a modified preserved nasal and lacrimal mucosal flap technique in endonasal endoscopic dacryocystorhinostomy (EES-DCR) for patients with epiphora secondary to primary acquired nasolacrimal duct obstruction (PANDO) and evaluate its outcomes. Twenty-five patients with PANDO were retrospectively reviewed. Modified preserved nasal and lacrimal mucosal flap technique in EES-DCR was applied in all 27 eyes of 25 patients. The patients were evaluated with objective (anatomical patency) and subjective (symptomatic cure) success rates within the duration of follow-up. In the present study, all of the patients’ surgical procedures were successful. There were 2 cases of flap dislocation from the rhinostomy site 1 week post-operation. After a mean follow-up of 4.9 ± 1.8 months, the success rate of anatomical patency was 100% (27/27) and the success rate of symptomatic cure was 92.6% (25/27). No significant complications occurred intraoperatively. We concluded that the modified preserved nasal and lacrimal mucosal flap technique in EES-DCR for treating PANDO is simple and safe, can effectively cover the bare bone around the opened sac, and provide a similar or even better clinical outcome compared with other routine treatment techniques used for this condition. Nature Publishing Group UK 2017-07-28 /pmc/articles/PMC5533767/ /pubmed/28754905 http://dx.doi.org/10.1038/s41598-017-07364-9 Text en © The Author(s) 2017 Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The images or other third party material in this article are included in the article’s Creative Commons license, unless indicated otherwise in a credit line to the material. If material is not included in the article’s Creative Commons license and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this license, visit http://creativecommons.org/licenses/by/4.0/.
spellingShingle Article
Peng, Wenyan
Tan, Bowei
Wang, Yandong
Wang, Haiying
Wang, Zhonghao
Liang, Xuanwei
A Modified Preserved Nasal and Lacrimal Flap Technique in Endoscopic Dacryocystorhinostomy
title A Modified Preserved Nasal and Lacrimal Flap Technique in Endoscopic Dacryocystorhinostomy
title_full A Modified Preserved Nasal and Lacrimal Flap Technique in Endoscopic Dacryocystorhinostomy
title_fullStr A Modified Preserved Nasal and Lacrimal Flap Technique in Endoscopic Dacryocystorhinostomy
title_full_unstemmed A Modified Preserved Nasal and Lacrimal Flap Technique in Endoscopic Dacryocystorhinostomy
title_short A Modified Preserved Nasal and Lacrimal Flap Technique in Endoscopic Dacryocystorhinostomy
title_sort modified preserved nasal and lacrimal flap technique in endoscopic dacryocystorhinostomy
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5533767/
https://www.ncbi.nlm.nih.gov/pubmed/28754905
http://dx.doi.org/10.1038/s41598-017-07364-9
work_keys_str_mv AT pengwenyan amodifiedpreservednasalandlacrimalflaptechniqueinendoscopicdacryocystorhinostomy
AT tanbowei amodifiedpreservednasalandlacrimalflaptechniqueinendoscopicdacryocystorhinostomy
AT wangyandong amodifiedpreservednasalandlacrimalflaptechniqueinendoscopicdacryocystorhinostomy
AT wanghaiying amodifiedpreservednasalandlacrimalflaptechniqueinendoscopicdacryocystorhinostomy
AT wangzhonghao amodifiedpreservednasalandlacrimalflaptechniqueinendoscopicdacryocystorhinostomy
AT liangxuanwei amodifiedpreservednasalandlacrimalflaptechniqueinendoscopicdacryocystorhinostomy
AT pengwenyan modifiedpreservednasalandlacrimalflaptechniqueinendoscopicdacryocystorhinostomy
AT tanbowei modifiedpreservednasalandlacrimalflaptechniqueinendoscopicdacryocystorhinostomy
AT wangyandong modifiedpreservednasalandlacrimalflaptechniqueinendoscopicdacryocystorhinostomy
AT wanghaiying modifiedpreservednasalandlacrimalflaptechniqueinendoscopicdacryocystorhinostomy
AT wangzhonghao modifiedpreservednasalandlacrimalflaptechniqueinendoscopicdacryocystorhinostomy
AT liangxuanwei modifiedpreservednasalandlacrimalflaptechniqueinendoscopicdacryocystorhinostomy