JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY) ›› 2011, Vol. 25 ›› Issue (6): 56-.

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Rhino-endoscopic secondary surgery after failure

ZHOU Lu-sheng1, JIANG Shao-hong2, SONG Xi-cheng2, WANG Qiang2, ZHANG Tian-zhen2   

  1. 1. Department of Otorhinolaryngology, Laizhou Third People′s  Hospital, Laizhou 261400, Shandong, China;
    2. Department of Otorhinolaryngology & Head and Neck Surgery,Yantai Yuhuangding Hospital,
    Qingdao University Medical College,  Yantai 246000, Shandong, China
  • Received:2011-07-01 Revised:2011-10-23 Online:2011-12-16 Published:2011-12-16

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Abstract:

Objective    To discuss the reason of failure of traditional darcryocystorhinostomy and the feasibility of secondary rhino-endoscopic darcryocystorhinostomy surgery. Methods   Fifteen patients (15 eyes) who underwent traditional darcryocystorhinostomy which ended up in failure underwent secondary rhinoendoscopic darcryocystorhinostomy surgery for chronic dacrocystitis, simultaneously deflection of the nasal septum, nasal polyps and sinusitis were treated, and the reasons of the previous failures were analyzed. Results   Out of 15 patients(15 eyes), 10 (eyes) were cured and 5 (eyes) improved, and  dacrocystmucosal accretion of the cavity and too small bone windows were the reason of previous failure. Conclusions   Rhino-endoscopic darcryocystorhinostomy surgery is feasible in case of failure of traditional darcryocystorhinostomy, and mitomycin administration in the operation cavity can help increase the success rate of the surgery.

Key words: Dacryocystitis； Endoscopic surgery

CLC Number: 

  • R765.9
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