Article Text

other Versions

PDF
Eight-flap anastomosis in external dacryocystorhinostomy
  1. Yasuhiro Takahashi,
  2. Yasuhisa Nakamura,
  3. Hirohiko Kakizaki
  1. Department of Ophthalmology, Aichi Medical University, Aichi, Japan
  1. Correspondence to Dr Hirohiko Kakizaki, Department of Ophthalmology, Aichi Medical University, Nagakute, Aichi 480-1195, Japan; cosme{at}d1.dion.ne.jp

Abstract

Aims To examine the surgical outcome of external dacryocystorhinostomy (DCR) with eight-flap anastomosis (8-flap ex-DCR).

Methods A retrospective chart review was performed for 55 sides of 51 patients with nasolacrimal duct obstruction who underwent 8-flap ex-DCR. The patients were followed up postoperatively at 1, 2, 4, 8 and 12 weeks, and evaluations were continued with 12-week follow-ups until postoperative 12 months. Anatomical success was defined as no reflux on lacrimal irrigation at 12 months. Functional success was defined as no epiphora at postoperative 12 months. The presence of epistaxis and postoperative surgical site infections were checked in all patients. The presence of granulation tissue around the ostium, under nasal endoscopy, was also examined on 14 sides of 14 patients, at each visit.

Results Anatomical success was demonstrated on all sides, and functional success was obtained from 54 sides (98.2%) of 50 patients. One patient experienced postoperative intermittent epiphora on one side. The patients did not show granulation tissue, epistaxis or surgical site infection throughout the observation period.

Conclusions The 8-flap ex-DCR showed complete anatomical success and favourable functional success with no postoperative complications.

  • Lacrimal drainage

Statistics from Altmetric.com

Request permissions

If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.

Linked Articles

  • At a glance
    Keith Barton James Chodosh Jost Jonas