Bilateral Simultaneous Dacryocystorhinostomy and Conjunctivocystorhinostomy

Česká verzia

Authors: Pavel Komínek ¹ ; S. Červenka ^1,2; P. Matoušek ¹
Authors place of work: ORL klinika Fakultní nemocnice, Ostrava, přednosta doc. MUDr. Pavel Komínek, Ph. D., MBA ¹; Oční ambulance, Otrokovice ²
Published in the journal: Čes. a slov. Oftal., 64, 2008, No. 3, p. 91-94

Summary

In patients with bilateral symptoms of lacrimal pathways occlusion, the endonasal dacryocystorhinostomy (EDCR) and conjunctivo-dacryocystorhinostomy (CDCR) may be performed simultaneously or consequently. The simultaneous bilateral surgery does not worsen the surgery results. The advantages of this procedure are one anesthesia only, only unsubstantial extension of the surgery duration, and shorter sick leave as well.

The authors performed during the period from 1995 to 2007 altogether 630 primary EDCRes and 117 CDCRes. In 92 patients, 184 simultaneous dacryocystorhinostomies were performed. Out of 164 evaluated surgeries, the good results were obtained in 150 cases (91.5 %). Out of 40 simultaneously performed CDCRes (20 patients), they were successful in 14 patients. Unsuccessful they were in 3 patients in whom the silicone drainage implant was used.

Key words:
endonasal dacryocystorhinostomy, EDCR, conjunctivo-dacryocystorhinostomy (CDCR), simultaneous procedure

Zdroje

1. Hartikainen, J., Antila, J., Varpula, M. et al.: Prospective randomized Comparison of Endonasal Endoscopic Dacryocystorhinostomy and External Dacryocystorhinostomy. Laryngoscope, 108, 1998: 1861-186

2. Hurwitz, J.J.: The Lacrimal System. 1st ed. Philadelphia: Lippincott Raven Publ., 1996. 331 s.

3. Hurwitz, J.J., Mischkin. S.: Bilateral Simultaneour Dacryocystorhinostomy. Ophthalmic Plastic and Reconstructive Surgery, 5, 1981, 3: 186-188

4. Komínek, P.: Conjunctivocystorhinostomy with Jones tube insertion. In: Weber, R., Keerl, R., Schaefer, S.D. et al.: Atlas of Lacrimal Surgery, Stuttgart: Springer, 1st ed., 2007, 158 s.

5. Komínek, P., Červenka, S.: Konjunktivocystorinostomie – sedmileté zkušenosti I (popis operace, sestava). Čes. slov. Oftal., 60, 2004: 192-198

6. Komínek, P., Červenka, S.: Konjunktivocystorinostomie – sedmileté zkušenosti II (komentář). Čes. slov. Oftal., 60, 2004: 199-204

7. Komínek, P., Červenka, S., Lenert, R.: Endoskopická dakryocystorinostomie – I. Obecná část. Otorinolaryng. a Foniat. (Prague), 51, 2002: 115-120

8. Komínek, P., Červenka, S., Lenert, R.: Endoskopická dakryocystorinostomie- II. Rozbor 208 případů. Otorinolaryng.. a Foniat. (Prague), 51, 2002: 121-127

9. Komínek, P., Červenka, S., Müllner, K.: Nemoci slzných cest. Praha: Maxdorf , 2003, 287 s.

10. Komínek, P., Červenka, S., Lenert, R.: Endoskopická endonazální dakryocystorinostomie v dětském věku. Otolaryngol.(Praque), 48, 1999: 231-238

11. Weber, R., Draf, W., Kolb, P.: Die endonasale mikrochirurgische Behandlung von Tränenwegstenosen. HNO, 41, 1993: 11-18

12. Wesley, R.E., Brent Bond, J.: Intranasal Procedures for Successful Lacrimal Surgery. Ophthalmic Plastic and Reconstructive Surgery. 2, 1986:153-157

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Článok vyšiel v časopise

Czech and Slovak Ophthalmology

2008 Číslo 3

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