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首页> 外文期刊>British journal of ophthalmology >Air regurgitation in patients on continuous positive airway pressure (CPAP) therapy following dacrocystorhinostomy with or without Lester-Jones tube insertion.
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Air regurgitation in patients on continuous positive airway pressure (CPAP) therapy following dacrocystorhinostomy with or without Lester-Jones tube insertion.

机译：连续或连续不进行Lester-Jones管插入的行泪囊鼻腔吻合术的患者连续气道正压通气（CPAP）治疗后的患者的空气反流。

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摘要

AIM: To describe air regurgitation as a complication in patients on continuous positive airway pressure (CPAP) therapy for obstructive sleep apnoea (OSA) following dacryocystorhinostomy (DCR) surgery with or without Lester-Jones tube (LJT) insertion. METHODS: A retrospective review of all patients with air regurgitation on CPAP therapy who previously underwent a DCR/LJT procedure. Patient demographics, lacrimal surgical history, CPAP therapy and outcome were recorded. RESULTS: Four male patients were identified. The mean age at presentation was 54 years. Two patients had an LJT inserted, and two patients had a DCR procedure, one was external, and one was endonasal. All four patients had resolution of their epiphora. Three patients had superficial epithelial keratopathy requiring lubricant therapy. All patients attempted using ointment to act as a barrier over the neo-ostium, which was unsuccessful. One patient had the LJT removed with resolution of the air regurgitation. Two patients changed their CPAP machines to variable, and three patients reduced the pressure of their CPAP therapy without any improvement. All three patients had persistence of air regurgitation at a mean follow-up of 18 months. CONCLUSIONS: Air regurgitation can occur following naso-lacrimal surgery in patients on CPAP therapy. Although this is an unusual complication, it should be discussed with the patient at the time of obtaining informed consent.
机译：目的：描述连续或持续性气道正压通气（CPAP）治疗或不插入Lester-Jones管（LJT）的泪囊鼻腔吻合术（DCR）后进行阻塞性睡眠呼吸暂停（OSA）的患者的并发症。方法：回顾性分析所有先前接受过DCR / LJT手术的CPAP空气反流患者。记录患者的人口统计资料，泪道手术史，CPAP治疗和结局。结果：确定了四名男性患者。报告时的平均年龄为54岁。两名患者插入了LJT，两名患者进行了DCR手术，一名在外部，一名在鼻内。所有四名患者的泪溢都消退了。三例患者患有浅表性上皮角化病，需要进行润滑剂治疗。所有患者均尝试使用药膏作为新口盖的屏障，但未成功。一名患者切除了LJT，并伴有反流。两名患者将CPAP机器更改为变量，三名患者降低了CPAP治疗的压力，而没有任何改善。三例患者均持续进行了18个月的平均反流。结论：接受CPAP治疗的患者在鼻腔手术后会出现空气返流。尽管这是不寻常的并发症，但在获得知情同意时应与患者讨论。

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