Intranasal Otological T-Tube Application to the Lacrimal Sac in Endoscopic Dacryocystorhinostomy

Abstract

Objectives: To discuss the results of endoscopic dacryocystorhinostomy combined with otological silicon T-tube stent insertion. Materials and Methods: The records of the patients who have undergone endoscopic dacryocystorhinostomy combined with otological T-tube stent application by co-operating of Otorhinolaryngology and Ophthalmology Departments in Akdeniz University between 2007 and 2010 were evaluated retrospectively. Patients’ demographics, complaints of the patients, complications, aperture of the nasolacrimal canal in the postoperative period, duration of the removal or dislocation time of the tubes, postoperative medical treatment or revision surgery were recorded. Results: Thirty-seven patients (27 female/10 male) were included in this study. Both eyes of a patient were operated at different times. Mean follow-up period was 8.6±8.3 months. Epiphora, swelling, and ocular discharge were the most frequent complaints observed in 11 of 38 eyes (28.9%) in the postoperative period. Two of these eyes could be treated with medication, but 9 eyes (23.7%) required surgical revision. In terms of the lack of revision requirement, the success rate was found to be 76.3%. Conclusion: Endoscopic dacryocystorhinostomy combined with otological silicon T-tube stent application can be used as an alternative procedure for especially distal part obstructions in the nasolacrimal system; the advantages are no canalicular trauma and less granulation risk. (Turk J Ophthalmol 2015; 45:60-4)

Keywords

• Dacryocystorhinostomy
• endoscopic
• otological T-tube