Publication in refereed journal
香港中文大学研究人员 ( 现职)
| 尹怀信教授 (耳鼻咽喉-头颈外科学系) |
全文
| 数位物件识别号 (DOI) http://dx.doi.org/10.1097/00005537-200006000-00029 |
引用次数
Web of Sciencehttp://aims.cuhk.edu.hk/converis/portal/Publication/47WOS source URL
其它资讯
摘要Objective: Traditional endoscopic dacryocystorhinostomy (DCR) involves creation of a lacrimal sac side hole that may close down in the presence of a partially patent lower lacrimal drainage system. Endoscopic terminal DCR is a modified DCR procedure designed to prevent this problem. Methods: From September 1996 to June 1999, 16 patients (17 sides) had endoscopic terminal DCR that involved resection of the lacrimal sac-duct junction to achieve total separation of the lacrimal sac from the nasolarcrimal duct and creation of a terminal DCR opening. Results: Ten of the 17 DCRs were primary and 7 were revisions. The follow-up ranged from 3 to 36 months. There were two failures. One failure was due to canalicular obstruction and the other was due to prolapse of orbital fat hindering proper fashioning of the mucosal flap. The overall success rate was 88%. Conclusions: Instead of creating a side hole in the lacrimal sac as proposed by most endoscopic DCR studies, we advocate total diversion of tear flow by performing a terminal DCR opening that would further improve the success rate of endoscopic DCR, particularly in cases of idiopathic and partial obstruction.
着者Sham CL, van Hasselt CA
期刊名称LARYNGOSCOPE
出版年份2000
月份6
日期1
卷号110
期次6
出版社LIPPINCOTT WILLIAMS & WILKINS
页次1045 - 1049
国际标準期刊号0023-852X
电子国际标準期刊号1531-4995
语言英式英语
Web of Science 学科类别Medicine, Research & Experimental; MEDICINE, RESEARCH & EXPERIMENTAL; Otorhinolaryngology; OTORHINOLARYNGOLOGY; Research & Experimental Medicine
