0
오늘 하루동안 보지 않기
잠시만 기다려 주세요. 로딩중입니다.
KMID : 0360220180590040307
대한안과학회지
2018년 59권 4호 p.307 ~ p.313
코경유눈물주머니코안연결술 시 트리암시놀론을 적신 코충전물의 임상적 효과
The Clinical Effects of Triamcinolone-soaked Nasal Packing on Endonasal Dacryocystorhinostomy
송석현 ( Song Seok-Hyeon ) - 건양대학교 의과대학 안과학교실

이가현 ( Lee Ka-Hyun ) - 건양대학교 의과대학 안과학교실
- Abstract -
Purpose: To evaluate the clinical effects of triamcinolone-soaked nasal packing on endonasal dacryocystorhinostomy (DCR).

Methods: The study included 91 patients (156 eyes) with primary acquired nasolacrimal duct obstruction who underwent endonasal DCR from March 2015 to February 2017. A total of 50 eyes were packed with triamcinolone-soaked Nasopore® and 106 eyes were packed with Nasopore® without triamcinolone (control group). The anatomical and functional success percentage, revision percentage, and postoperative complications such as granulation, synechiae, and membrane formation were compared between the groups at 1 week, 1 month, 2 months, and 4 months postoperatively.

Results: At postoperative 2 months, there was a statistically significant difference in the anatomical success percentage in the triamcinolone-soaked group (100%) compared to the control group (86.8%; p = 0.007). There were no statistically significant differences between the two groups in anatomical success percentage at postoperative 4 months (p > 0.05). However, there was a statistically significant difference in the functional success percentage in the triamcinolone-soaked group (92.0%) compared to the control group (78.3%; p = 0.035). When comparing postoperative complications, the triamcinolone-soaked group (4.0%) had a lower incidence of granulation than the control group (16.0%) (p = 0.032), but there were no differences in synechiae and membrane formation (p > 0.05). There was a statistically significant difference in the revision percentage in the triamcinolone-soaked group (4.0%) compared to the control group (16.0%) (p = 0.032).

Conclusions: Triamcinolone-soaked nasal packing for endonasal DCR is an effective method for increasing the success percentage and lowering the incidence of granuloma and revision percentages.
- Key Words -

Endonasal dacryocystorhinostomy, Nasopore, Triamcinolone
- 원문 및 링크아웃 정보 -
 
- 등재저널 정보 -
학술진흥재단(KCI) KoreaMed 대한의학회 회원