Indian journal of otolaryngology and head and neck surgery : official publication of the Association of Otolaryngologists of India · 2005
Endoscopic dacryocystorhinostomy vs KTP 532 laser-assisted endoscopic dacryocystorhinostomy.
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Nayak D R, Hazarika P, Rodrigues R A W, Pillai S, Balakrishnan R
Аннотация
OBJECTIVES: Advances in endoscopy and lasers have improved surgical management of chronic nasolacrimal duct obstruction. This is a preliminary comparison between standard and laser assisted endoscopic dacryocystorhinostomy (DCR).
STUDY DESIGN: Combined retrospective and prospective study.
SETTING: Tertiary referral hospital.
PATIENTS AND METHODS: Thirty-eight cases of chronic nasolacrimal duct obstruction underwent endoscopic DCR (26 standard and 12, laser-assisted) and were assessed at 3 and at 6 months postoperatively by nasal endoscopy.
RESULTS: Three months postoperatively (n=38), total relief of epiphora among the nonlaser group was 80.76 vs 75% in the laser group (P=0.982). At 6 months (n=19), the laser group had recorded 100% symptomatic relief compared to 85.71% in the nonlaser group (P=0.964). The laser group suffered fewer complications (33.33 vs 46.15% for nonlaser group).
CONCLUSION: Lasers show promise in long-term management of duct obstruction and are associated with fewer complications. A larger study is required before and generalization is made.
STUDY DESIGN: Combined retrospective and prospective study.
SETTING: Tertiary referral hospital.
PATIENTS AND METHODS: Thirty-eight cases of chronic nasolacrimal duct obstruction underwent endoscopic DCR (26 standard and 12, laser-assisted) and were assessed at 3 and at 6 months postoperatively by nasal endoscopy.
RESULTS: Three months postoperatively (n=38), total relief of epiphora among the nonlaser group was 80.76 vs 75% in the laser group (P=0.982). At 6 months (n=19), the laser group had recorded 100% symptomatic relief compared to 85.71% in the nonlaser group (P=0.964). The laser group suffered fewer complications (33.33 vs 46.15% for nonlaser group).
CONCLUSION: Lasers show promise in long-term management of duct obstruction and are associated with fewer complications. A larger study is required before and generalization is made.