A Modified Preserved Nasal and Lacrimal Flap Technique in Endoscopic Dacryocystorhinostomy

Abstract Here we describe a modified preserved nasal and lacrimal mucosal flap technique in endonasal endoscopic dacryocystorhinostomy (EES-DCR) for patients with epiphora secondary to primary acquired nasolacrimal duct obstruction (PANDO) and evaluate its outcomes. Twenty-five patients with PANDO w...

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Autores principales:	Wenyan Peng, Bowei Tan, Yandong Wang, Haiying Wang, Zhonghao Wang, Xuanwei Liang
Formato:	article
Lenguaje:	EN
Publicado:	Nature Portfolio 2017
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/53d997780da441e88552b906cbb224c8
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spelling	oai:doaj.org-article:53d997780da441e88552b906cbb224c82021-12-02T16:06:11ZA Modified Preserved Nasal and Lacrimal Flap Technique in Endoscopic Dacryocystorhinostomy10.1038/s41598-017-07364-92045-2322https://doaj.org/article/53d997780da441e88552b906cbb224c82017-07-01T00:00:00Zhttps://doi.org/10.1038/s41598-017-07364-9https://doaj.org/toc/2045-2322Abstract Here we describe a modified preserved nasal and lacrimal mucosal flap technique in endonasal endoscopic dacryocystorhinostomy (EES-DCR) for patients with epiphora secondary to primary acquired nasolacrimal duct obstruction (PANDO) and evaluate its outcomes. Twenty-five patients with PANDO were retrospectively reviewed. Modified preserved nasal and lacrimal mucosal flap technique in EES-DCR was applied in all 27 eyes of 25 patients. The patients were evaluated with objective (anatomical patency) and subjective (symptomatic cure) success rates within the duration of follow-up. In the present study, all of the patients’ surgical procedures were successful. There were 2 cases of flap dislocation from the rhinostomy site 1 week post-operation. After a mean follow-up of 4.9 ± 1.8 months, the success rate of anatomical patency was 100% (27/27) and the success rate of symptomatic cure was 92.6% (25/27). No significant complications occurred intraoperatively. We concluded that the modified preserved nasal and lacrimal mucosal flap technique in EES-DCR for treating PANDO is simple and safe, can effectively cover the bare bone around the opened sac, and provide a similar or even better clinical outcome compared with other routine treatment techniques used for this condition.Wenyan PengBowei TanYandong WangHaiying WangZhonghao WangXuanwei LiangNature PortfolioarticleMedicineRScienceQENScientific Reports, Vol 7, Iss 1, Pp 1-6 (2017)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Wenyan Peng Bowei Tan Yandong Wang Haiying Wang Zhonghao Wang Xuanwei Liang A Modified Preserved Nasal and Lacrimal Flap Technique in Endoscopic Dacryocystorhinostomy
description	Abstract Here we describe a modified preserved nasal and lacrimal mucosal flap technique in endonasal endoscopic dacryocystorhinostomy (EES-DCR) for patients with epiphora secondary to primary acquired nasolacrimal duct obstruction (PANDO) and evaluate its outcomes. Twenty-five patients with PANDO were retrospectively reviewed. Modified preserved nasal and lacrimal mucosal flap technique in EES-DCR was applied in all 27 eyes of 25 patients. The patients were evaluated with objective (anatomical patency) and subjective (symptomatic cure) success rates within the duration of follow-up. In the present study, all of the patients’ surgical procedures were successful. There were 2 cases of flap dislocation from the rhinostomy site 1 week post-operation. After a mean follow-up of 4.9 ± 1.8 months, the success rate of anatomical patency was 100% (27/27) and the success rate of symptomatic cure was 92.6% (25/27). No significant complications occurred intraoperatively. We concluded that the modified preserved nasal and lacrimal mucosal flap technique in EES-DCR for treating PANDO is simple and safe, can effectively cover the bare bone around the opened sac, and provide a similar or even better clinical outcome compared with other routine treatment techniques used for this condition.
format	article
author	Wenyan Peng Bowei Tan Yandong Wang Haiying Wang Zhonghao Wang Xuanwei Liang
author_facet	Wenyan Peng Bowei Tan Yandong Wang Haiying Wang Zhonghao Wang Xuanwei Liang
author_sort	Wenyan Peng
title	A Modified Preserved Nasal and Lacrimal Flap Technique in Endoscopic Dacryocystorhinostomy
title_short	A Modified Preserved Nasal and Lacrimal Flap Technique in Endoscopic Dacryocystorhinostomy
title_full	A Modified Preserved Nasal and Lacrimal Flap Technique in Endoscopic Dacryocystorhinostomy
title_fullStr	A Modified Preserved Nasal and Lacrimal Flap Technique in Endoscopic Dacryocystorhinostomy
title_full_unstemmed	A Modified Preserved Nasal and Lacrimal Flap Technique in Endoscopic Dacryocystorhinostomy
title_sort	modified preserved nasal and lacrimal flap technique in endoscopic dacryocystorhinostomy
publisher	Nature Portfolio
publishDate	2017
url	https://doaj.org/article/53d997780da441e88552b906cbb224c8
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A Modified Preserved Nasal and Lacrimal Flap Technique in Endoscopic Dacryocystorhinostomy

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