Effects of Triamcinolone-soaked Packing for Endonasal Revision in Patients with Failed Endoscopic Dacryocystorhinostomy
Journal of the Korean Ophthalmological Society
;
: 586-590, 2017.
Article
in Korean
| WPRIM
| ID: wpr-193498
ABSTRACT
PURPOSE:
To evaluate the efficacy of endonasal revision using triamcinolone-soaked nasal packing in patients exhibiting recurrence of epiphora after endoscopic dacryocystorhinostomy. CASESUMMARY:
Four patients (4 eyes) who presented with the chief complaint of recurrence of epiphora after endoscopic dacryocystorhinostomy underwent endonasal revision under local anesthesia. On nasal endoscopy, granulation tissue and membranous tissue around the osseous foramen was removed during endonasal revision. According to the operator's judgement, the osseous foramen was additionally expanded. Following insertion of a silicone tube, triamcinolone-soaked nasal packing was used for intra-nasal packing. The silicone tube was removed after follow-up of more than 12 weeks. Immediately after removing the silicone tube, there was free passage of saline on lacrimal syringing as well as complete resolution of epiphora. At over 6 months of follow-up after tube removal, there was no recurrence of epiphora in any of the 4 patients.CONCLUSIONS:
Triamcinolone-soaked nasal packing may be considered in patients with failed endoscopic dacryocystorhinostomy.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Recurrence
/
Silicon
/
Silicones
/
Triamcinolone
/
Dacryocystorhinostomy
/
Follow-Up Studies
/
Endoscopy
/
Granulation Tissue
/
Anesthesia, Local
/
Lacrimal Apparatus Diseases
Type of study:
Diagnostic study
/
Observational study
/
Prognostic study
Limits:
Humans
Language:
Korean
Journal:
Journal of the Korean Ophthalmological Society
Year:
2017
Type:
Article
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