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首页> 美国卫生研究院文献>Indian Journal of Otolaryngology and Head Neck Surgery >Double Posterior Based Flap Technique in Primary Endoscopic Dacryocystorhinostomy With and Without Using Powered Instrument
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Double Posterior Based Flap Technique in Primary Endoscopic Dacryocystorhinostomy With and Without Using Powered Instrument

机译：双后路皮瓣技术在内镜下泪囊鼻腔吻合术的使用和不使用动力器械

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To demonstrate the surgical technique and outcomes of double posterior based flap technique in primary endoscopic dacryocystorhinostomy (DCR) with and without use of powered instrument. 28 patients of nasolacrimal duct obstruction were included in the study from September 2012 to February 2015. All underwent endoscopic dacryocystorhinostomy with double posterior based nasal and lacrimal flap technique. In patients of group A (14 patients), bone removal was done with the help of Smith–Kerrison punch forceps and in patients of group B (14 patients), powered drill has been used for the same. Patients were visited the endoscopic clinic at 1, 3, 6 months and 1 year after the surgery for post operative evaluation. Of 28 patients, 26(92.85%) were found free of symptoms at the end of 1, 3 and at 6 months. One from each group had recurrence of symptoms. At the end of 12 months of 25 patients, 3(12%) patients were found to have recurrence of symptoms of which 1(8.33%) patients was from group A and 2(15.38%) were from group B and failures were because of granulation tissue and stomal stenosis. Patients assisted with powered drill had more postoperative complications compared to cold instrument. Double posterior based flap technique in primary endoscopic DCR without the assistance of powered drill could be an effective surgical option for the patients of chronic nasolacrimal duct obstruction enabling early epithelisation by preventing peristomal granulation tissue resulting in encouraging surgical outcome with least postoperative complication.
机译：演示在使用和不使用动力器械的情况下，原发性内镜下泪囊鼻腔吻合术（DCR）的双后路皮瓣技术的手术技术和结果。 2012年9月至2015年2月，该研究共纳入28例鼻泪管阻塞患者。所有患者均接受了内窥镜下泪囊鼻腔吻合术，并采用了后路鼻和泪腺双瓣皮瓣技术。在A组患者（14例患者）中，借助Smith-Kerrison打孔钳进行了脱骨；在B组患者（14例患者）中，使用了动力钻。手术后1、3、6个月和1年对患者进行内窥镜门诊检查，以进行术后评估。在28名患者中，有1名，3名和6个月末无症状的26名（92.85％）。每组有1例症状复发。在25例患者的12个月末，发现3例（12％）症状复发，其中A组1例（8.33％）和B组2例（15.38％）且失败是由于肉芽组织和气孔狭窄。与冷器械相比，动力钻辅助的患者术后并发症更多。在没有动力钻辅助的情况下，在初级内窥镜DCR中采用双后路皮瓣技术对慢性鼻泪管阻塞的患者而言可能是一种有效的手术选择，它可以通过防止皮膜周围肉芽组织而使早期上皮化，从而减少术后并发症，从而促进手术结果。

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