›› 2009, Vol. 29 ›› Issue (8): 971-.

• Original article (Clinical research) • Previous Articles     Next Articles

Outcomes of intranasal endoscopic holmium laser-assisted dacryocystorhinostomy in treatment of chronic dacryocystitis

SUN Ping1, ZHANG Lin1, CAI Jun1, ZHANG Chun2, WANG Jia-dong2, ZHANG Hui-guo3, ZHU Jing3   

  1. 1. Department of Ophthalmology, 2. Department of Otorhinolaryngology, 3. Department of Laser, Renji Hospital, School of Medicine, Shanghai Jiaotong University, Shanghai 200001, China
  • Online:2009-08-25 Published:2009-09-27

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Abstract:

Objective To observe the outcomes of intranasal endoscopic holmium laser-assisted  dacryocystorhinostomy in the treatment of chronic dacryocystitis. Methods Forty-seven patients (47 eyes) with chronic dacryocystitis underwent intranasal endoscopic holmium laser-assisted dacryocystorhinostomy. The postoperative follow-up included lacrimal irrigation and intranasal endoscopic examination. Results The patients were followed up for 3 to 6 months. The cure rate was 87.2%, the improvement rate was 6.4%, and the total effective rate (cure rate+improvement rate) was 93.6%. Conclusion Intranasal endoscopic holmium laser-assisted dacryocystorhinostomy causes no scar in the face, less nasal tissue damage, shorter operation time and less hemorrhage, and does not affect the lacrimal irrigation system, which allows correction of intranasal causes of failure in traditional dacryocystorhinostomy.

Key words: endoscope, holmium laser, chronic dacryocystitis, ostium, follow-up

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