Kanalikül kesisi onarım sonuçları
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Tarih
2019
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Medical Network
Erişim Hakkı
info:eu-repo/semantics/openAccess
Özet
Amaç: Kliniğimizde tek taraflı kanalikül kesisi tamiri yapılan hastalarda anatomik ve fonksiyonel başarı oranlarını değerlendirmek.Gereç ve Yöntem: Kliniğimizde Eylül 2013 ile 31 Mart 2017 tarihleri arasında kanalikül kesisi tamiri ameliyatı uygulanan hastaların anatomik ve fonksiyonel başarı sonuçları retrospektif olarak değerlendirildi.Bulgular: Çalışmaya 42 hasta dahil edildi. Hastaların 31’i erkek, 11’i kadın idi. Ortalama yaş 14,7±2,6 (1-68) yıl idi. Travmaların %43’üdirekt mekanizma, %57’si indirekt mekanizma ile oluşmuştu. Alt kanalikül %69, üst kanalikül %26,2, bikanalikül %4,8 oranında tutulmuştu.Travma-cerrahi süresi ortalama 13,6±1,1 (4-30) saat idi. Uygulanan silikon tüpün canlı dokuda kalma süresi ortalama 156±6,8 (20-240) günolarak saptanmış, ortalama ameliyat sonrası takip süresi ise 15,5±1,5 (6-39) ay olarak saptanmıştır. Olguların %95,2’sine genel anestezi altında, %4.8’ine lokal anestezi altında ameliyat uygulandı. Olguların %59,5’ine pig tail probu ile anuler silikon tüp entübasyonu, %31’ine minimonoka implantasyonu, %9,5’ine bikanaliküler nazal silikon tüp entübasyonu uygulandı. Olguların %90,5’inde anatomik başarı sağlanırken,%85,7’sinde fonksiyonel başarı sağlandı. Olguların 32’sinde ameliyat sonrası komplikasyon izlenmezken, 10 olguda ameliyat sonrası çeşitlikomplikasyonlar izlenmiş ve bunların 2’sine ek cerrahi işlem uygulanmıştır.Sonuç: Anatomik ve fonksiyonel başarı açısından cerrahi gruplar değerlendirildiğinde anular silikon tüp entübasyonu ve minimonoka implant uygulanmış olan gruplarda benzer başarı oranları saptanırken, bikanaliküler nazal silikon tüp entübasyonu uygulanan grupta başarı yüzdesi diğer gruplardan daha düşük izlendi fakat bu fark istatiksel olarak anlamlı değildi. Bu farkın istatistiksel olarak ispatlanabilmesi için daha fazla olgu sayısı içeren çalışmalara ihtiyaç vardır.
Objective: To evaluate the functional and the anatomical success in patients who were underwent unilateral traumatic canalicule laceration reparation surgery. Material and Method: Patients who underwent unilateral traumatic canalicule laceration repair surgery in our clinic between September 2013 and March 2017 were included. Patient’s postoperative anatomical and functional results were retrospectively evaluated. Results: Forty two patients (31 male, 11 female) were included. The mean age was 14.7±2.6 (range 1-68) years. Indirect-avulsive injury was observed in 57% and direct-penetran injury in 43%. Inferior canalicules were injured in 69%, superior canalicule 26.2% and both canalicules in 4.8%. The average duration of surgeries was 13.6±1.1 (4-30) hours. The average follow up time was 15.52±1.5 (6-36) months. Surgery was performed under general anesthesia in 95.2% of patients, and under local anesthesia in 4.8%. In 59.5% of patients annular silicon tube intubation procedure, in 31% minimonoka stenting and in 14.3% bicanalicular nasal intubation procedure were performed. Anatomic success was achieved in 90.2% of the cases and functional success in 85.7%. In 10 patients postoperative complications were observed and additional surgery were applied to 2 of them. Conclusion: When anatomical and functional success rates were evaluated, similar results were found in anular silicone tube intubation and Mini Monoka implant groups. Whereas bicanalicular nasal silicone tube intubation group’s success rates were lower than the other groups but the differences were not statistically significant. Larger group of casses are required to reach statistically significant difference.
Objective: To evaluate the functional and the anatomical success in patients who were underwent unilateral traumatic canalicule laceration reparation surgery. Material and Method: Patients who underwent unilateral traumatic canalicule laceration repair surgery in our clinic between September 2013 and March 2017 were included. Patient’s postoperative anatomical and functional results were retrospectively evaluated. Results: Forty two patients (31 male, 11 female) were included. The mean age was 14.7±2.6 (range 1-68) years. Indirect-avulsive injury was observed in 57% and direct-penetran injury in 43%. Inferior canalicules were injured in 69%, superior canalicule 26.2% and both canalicules in 4.8%. The average duration of surgeries was 13.6±1.1 (4-30) hours. The average follow up time was 15.52±1.5 (6-36) months. Surgery was performed under general anesthesia in 95.2% of patients, and under local anesthesia in 4.8%. In 59.5% of patients annular silicon tube intubation procedure, in 31% minimonoka stenting and in 14.3% bicanalicular nasal intubation procedure were performed. Anatomic success was achieved in 90.2% of the cases and functional success in 85.7%. In 10 patients postoperative complications were observed and additional surgery were applied to 2 of them. Conclusion: When anatomical and functional success rates were evaluated, similar results were found in anular silicone tube intubation and Mini Monoka implant groups. Whereas bicanalicular nasal silicone tube intubation group’s success rates were lower than the other groups but the differences were not statistically significant. Larger group of casses are required to reach statistically significant difference.
Açıklama
Anahtar Kelimeler
Anular slikon tüp entübasyonu, Kanalikül kesisi, Lakrimal sistem cerrahisi, Minimonoka implant, Travmatik kanalikül yaralanması, Anular silicone tube intubation, Canalicular laceration, Surgery of lacrimal system, Mini monoka implant, Traumatic canalicular injury
Kaynak
MN Oftalmoloji
WoS Q Değeri
Scopus Q Değeri
Cilt
26
Sayı
2
Künye
Yıldırım, Y., Özkurt, Z. G. ve Keklikçi, U. (2019). Kanalikül kesisi onarım sonuçları. MN Oftalmoloji, 26(2), 59-66.
