Comparison of Modifications in Flap Anastomosis Patterns and Skin Incision Types for External Dacryocystorhinostomy: Anterior-Only Flap Anastomosis with W Skin Incision versus Anterior and Posterior Flap Anastomosis with Linear Skin Incision

作者: Burcu Dirim , Selam Yekta Sendul , Mehmet Demir , Erdem Ergen , Zeynep Acar

DOI: 10.1155/2015/170841

关键词:

摘要: Purpose. To compare the outcomes of external dacryocystorhinostomy (E-DCR) by using two different flap anastomosis patterns and skin incision types. Methods. This study included 79 patients (88 eyes) with lacrimal drainage system disorders who underwent E-DCR surgery. Fifty eyes 44 (group A) suturing anterior posterior flaps (H-flap) sac curvilinear whereas in 38 35 B) DCR was performed only (U-flap) W incision. Results. The success rate evaluated according to patency scar assessment scores. Patency achieved 78 (88.6%). In terms groups, (88.0%) group A 34 (89.5%) B. There no statistically significant difference rates between groups. Further, there concerning cutaneous Conclusion. Our suggests that anastomoses or both have similar rates; is easier perform shortens operative time. addition, a reasonable alternative for reducing formation.

参考文章(16)
Kristin J. Tarbet, Philip L. Custer, External Dacryocystorhinostomy: Surgical Success, Patient Satisfaction, and Economic Cost Ophthalmology. ,vol. 102, pp. 1065- 1070 ,(1995) , 10.1016/S0161-6420(95)30910-4
Bruce H. Haughey, Marci M. Lesperance, Valerie Lund, K. Thomas Robbins, John K. Niparko, J. Regan Thomas, [edited by] Paul W. Flint, Cummings Otolaryngology: Head and Neck Surgery ,(2004)
Metin Ekinci, Halil Huseyin Cagatay, Gokcen Gokce, Erdinç Ceylan, Sadullah Keleş, Özgür Cakici, Ersin Oba, Zeliha Yazar, Comparison of the effect of W-shaped and linear skin incisions on scar visibility in bilateral external dacryocystorhinostomy Clinical Ophthalmology. ,vol. 8, pp. 415- 419 ,(2014) , 10.2147/OPTH.S57382
Kostas G. Boboridis, Catey Bunce, Geoffrey E. Rose, Outcome of External Dacryocystorhinostomy Combined With Membranectomy of a Distal Canalicular Obstruction American Journal of Ophthalmology. ,vol. 139, pp. 1051- 1055 ,(2005) , 10.1016/J.AJO.2005.01.009
Tarjani V. Dave, Mohammed Javed Ali, P. Sravani, Milind N. Naik, Subciliary Incision for External Dacryocystorhinostomy Ophthalmic Plastic and Reconstructive Surgery. ,vol. 28, pp. 341- 345 ,(2012) , 10.1097/IOP.0B013E31825E697C
Gürkan Erdoğan, Cihan Ünlü, Ece Turan Vural, Aslan Aykut, Hüseyin Bayramlar, Inferior flap anastomosis in external dacryocystorhinostomy. Ophthalmic Plastic and Reconstructive Surgery. ,vol. 26, pp. 277- 280 ,(2010) , 10.1097/IOP.0B013E3181C3252C
Christoph R. Hintschich, Kerr MacAndie, Lelio Baldeschi, The length of unsutured mucosal margins in external dacryocystorhinostomy. American Journal of Ophthalmology. ,vol. 138, pp. 840- 844 ,(2004) , 10.1016/J.AJO.2004.06.032
Didem Serin, G??rsoy Alag??z, ??afak Karslo??lu, Serdal ??elebi, ??ahap K??kner, External dacryocystorhinostomy: Double-flap anastomosis or excision of the posterior flaps? Ophthalmic Plastic and Reconstructive Surgery. ,vol. 23, pp. 28- 31 ,(2007) , 10.1097/IOP.0B013E31802DD766
Bulent Yazici, Berna Akova, Simultaneous bilateral external dacryocystorhinostomy. Acta Ophthalmologica Scandinavica. ,vol. 85, pp. 667- 670 ,(2007) , 10.1111/J.1600-0420.2007.00908.X
Yasar Cokkeser, Cem Evereklioglu, Hamdi Er, Comparative external versus endoscopic dacryocystorhinostomy: results in 115 patients (130 eyes). Otolaryngology-Head and Neck Surgery. ,vol. 123, pp. 488- 491 ,(2000) , 10.1067/MHN.2000.105470