J 2010

Does the middle turbinate resection affect the success rate of endonasal dacryocystorhinostomy?

KOMINEK, Pavel; Stanislav ČERVENKA; Petr MATOUSEK; Tomáš PNIAK; Karol ZELENIK et al.

Základní údaje

Originální název

Does the middle turbinate resection affect the success rate of endonasal dacryocystorhinostomy?

Autoři

KOMINEK, Pavel; Stanislav ČERVENKA; Petr MATOUSEK; Tomáš PNIAK a Karol ZELENIK

Vydání

SPEKTRUM DER AUGENHEILKUNDE, NEW YORK, SPRINGER, 2010, 0930-4282

Další údaje

Jazyk

angličtina

Typ výsledku

Článek v odborném periodiku

Obor

30200 3.2 Clinical medicine

Stát vydavatele

Spojené státy

Utajení

není předmětem státního či obchodního tajemství

Impakt faktor

Impact factor: 0.120

Označené pro přenos do RIV

Ne

Organizační jednotka

Lékařská fakulta

Klíčová slova anglicky

Dacryocystorhinostomy; endonasal; middle turbinate resection

Příznaky

Mezinárodní význam, Recenzováno
Změněno: 11. 11. 2014 15:06, Ing. Mgr. Věra Pospíšilíková

Anotace

V originále

Background: To evaluate if the partial resection of the head of the middle turbinate increases a patency of the rhinostomy in the primary endonasal dacryocystorhinostomies (EDCR). Methods: The definite evidence-based determination of the relative efficacy of partial turbinectomy on EDCR has not been established in the literature so far. The partial middle turbinate resection is performed during EDCRs in patients with the anteriorly enlarged middle turbinate or in whom the lacrimal sac projection on the lateral nasal wall is covered with the anteriorly located head of the middle turbinate to prevent rhinostomy closure. The data were retrospectivelly collected in 639 primary EDCRs performed in the patients over 16 years old in the period 1994-2008. Only the patients with subsaccal nasolacrimal duct obstructions were involved in the study (233 cases); the patients with canalicular obstructions and secondary surgical procedures (silicone intubation, Mitomycin C, ethmoidectomy, septoplasty) were excluded. The success rates of patients with the partial middle turbinate resection (group I) and without resection (group II) were compared one year after the surgery. Results: The overall success rate was 217/233 (93.1%) in EDCRs with/without partial turbinate resections. In group I the success rate was 96/99 (96.9%), in group II 121/134 (90.3%). The differences between the results in groups I and II were statistically significant (p < 0.05). Conclusions: The partial middle turbinate resection significantly improves the success rate in the primary EDCRs.