泪囊瓣与前组筛窦黏膜瓣吻合的内镜下泪囊鼻腔吻合术治疗前组筛窦过度气化的慢性泪囊炎

doi:10.3760/cma.j.cn115909-20210830-00346

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Abstract Objective: To demonstrate the outcomes of endonasal dacryocystorhinostomy (En-DCR) with lacrimal sac flap and anterior ethmoid sinus mucosal anastomosing in patients with chronic dacryocystitis with anterior ethmoid air cells entering the frontal process of the maxilla. Methods: A retrospective analysis was performed on adult patients with anterior ethmoid air cells entering the frontal process of the maxilla who underwent En-DCR between July 2017 and March 2019. Patients who were followed up for more than 12 months were included in this study. Anterior ethmoidectomy was the first stage of the operation to open and widen the anterior ethmoid air cells, then routine En-DCR was performed on each patient. In the last step of the surgery, anastomosis was performed on the mucosal dacryocystitis and anterior ethmoid sinus. The success rate of ostial patency and complications were recorded. Results: Ninety eyes of 84 patients with anterior ethmoid air cells entering the frontal process of the maxilla underwent En-DCR. The success rate of En-DCR was 87% (78/90). Twelve eyes had postoperative obstruction which was caused by granuloma in seven eyes, scar synechia in four eyes, and common canalicular stenosis in one eye. There were no serious complications such as orbital fat prolapse, cerebrospinal fluid leak, sinusitis or visual impairment. Conclusions: En-DCR was performed by completely exposing the anterior screening sinus, and it was feasible and effective in patients with gasification of the anterior maxillary frontal process in the anterior group.

Key words： endonasal dacryocystorhinostomy anterior ethmoidectomy flap anastomosing

Received: 30 August 2021

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Fund:National key R & D Program of China (Light Henlth) (2017YFB0403700); Project of Wenzhou Science and Technology Bureau (Y2020362)

Corresponding Authors: Bo Yu, Eye Hospital, Wenzhou Medical University, Wenzhou 325027, China (Email:yubo312@126.com)

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	Xiaohui Jiang
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Cite this article:

Xiaohui Jiang,Jiakang Mei,Lanfang Sun等. En-DCR with Lacrimal Sac Flap and Anterior Ethmoid Sinus Mucosal Anastomosing in Patients with Chronic Dacryocystitis with Anterior Ethmoid Air Cells Entering the Frontal Process of the Maxilla[J]. Chinese Journal of Optometry Ophthalmology and Visual science, 2022, 24(4): 292-297.

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https://www.cjoovs.com/EN/10.3760/cma.j.cn115909-20210830-00346 OR https://www.cjoovs.com/EN/Y2022/V24/I4/292

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