TRANSCANALICULAR DIODE LASER ASSISTED DACRYOCYSTORHINOSTOMY

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ZIAEI ARDAKANI H.; SADEGHI HASANABADI MOHAMMAD; KASHFI A.

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Journal: JOURNAL OF CURRENT OPHTHALMOLOGY Year:2004 | Volume:16 | Issue:4 Page(s): 20-25

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Information Journal Paper

Title

TRANSCANALICULAR DIODE LASER ASSISTED DACRYOCYSTORHINOSTOMY

Author(s)

ZIAEI ARDAKANI H. | SADEGHI HASANABADI MOHAMMAD | KASHFI A. | Issue Writer Certificate

Keywords

DACRYOCYSTORHINOSTOMYQ4

TRANSCANALICULARQ4

DIODE LASERQ4

NASAL ENDOSCOPYQ4

Abstract

Aim: There are various approaches to accomplish DACRYOCYSTORHINOSTOMY. Our aim has been to assess the results of TRANSCANALICULAR laser assisted DACRYOCYSTORHINOSTOMY. Patients and Methods: Seventeen patients underwent 19 TRANSCANALICULAR laser assisted DACRYOCYSTORHINOSTOMY from 2001 to 2002 in Khatam Hospital. Mean age of the patients was 36.4±8.47 years (range, 25 to 53), with female to male ratio of 13 (76%) to 4 (24%). Involvement of the right, left, and bilateral lacrimal system was seen in 8, 7, and 2 patients, respectively. Operations were performed under general anesthesia. After dilation of the inferior lacrimal punctum, a 600-micron laser probe was introduced through the inferior punctum and then to the lacrimal sac. A 4mm, 30-degree nasal endoscope was introduced into the ipsilateral nostril, enabling visualization of laser beam through the lateral nasal wall. The stoma was fashioned with the DIODE LASER and enlarged under direct vision by low energy pulses. Next a bicanalicular silicone tube was routinely introduced and secured in place with knots. This was left in place for at least 12 weeks.Results: Two of the patients had bilateral involvement. Mean followup time was 8.97 months (range, 5-12). Four recurrences were observed in 19 procedures. Overall success rate of TRANSCANALICULAR DIODE LASER assisted DACRYOCYSTORHINOSTOMY was 78.9%. Apart from recurrences, no complications were noted in intraoperative or postoperative period.Conclusion: TRANSCANALICULAR laser assisted DACRYOCYSTORHINOSTOMY performed with a 600-micron contact fiber is a relatively simple, effective, and scarless procedure when used in conjunction with NASAL ENDOSCOPY, in treatment of lacrimal pathways distal obstruction. The technique of opening the nasolacrimal sac from inside to outside reduces the risk of thermal damage to the orbital contents with the laser. In general, this technique is well comparable to external and endonasal techniques, although the success rate is lower. With more experiences and correcting the limitations, this technique would become more popular with higher success rates.

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APA: Copy

ZIAEI ARDAKANI, H., SADEGHI HASANABADI, MOHAMMAD, & KASHFI, A.. (2004). TRANSCANALICULAR DIODE LASER ASSISTED DACRYOCYSTORHINOSTOMY. JOURNAL OF CURRENT OPHTHALMOLOGY, 16(4), 20-25. SID. https://sid.ir/paper/53175/en

Vancouver: Copy

ZIAEI ARDAKANI H., SADEGHI HASANABADI MOHAMMAD, KASHFI A.. TRANSCANALICULAR DIODE LASER ASSISTED DACRYOCYSTORHINOSTOMY. JOURNAL OF CURRENT OPHTHALMOLOGY[Internet]. 2004;16(4):20-25. Available from: https://sid.ir/paper/53175/en

IEEE: Copy

H. ZIAEI ARDAKANI, MOHAMMAD SADEGHI HASANABADI, and A. KASHFI, “TRANSCANALICULAR DIODE LASER ASSISTED DACRYOCYSTORHINOSTOMY,” JOURNAL OF CURRENT OPHTHALMOLOGY, vol. 16, no. 4, pp. 20–25, 2004, [Online]. Available: https://sid.ir/paper/53175/en

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