Intranasal otological T-tube application to the lacrimal sac in endoscopic dacryocystorhinostomy/Endoskopik dakriyosistorinostomi'de lakrimal keseye intranasal otolojik T-tup uygulamasi

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) Key Words: Dacryocystorhinostomy, endoscopic, otological T-tube Amac: Bu calismada endoskopik dakriyosistorinostomi (EDSR) ile kombine otolojik T-tup uygulanan hastalarimizin geriye yonelik incelemesi ve izlem sureci hakkindaki deneyimlerimiz aktarilmaktadir. Gerec ve Yontem: Calismaya 2007-2010 yillarinda hastanemizde Goz Hastaliklari ve Kulak-Burun-Bogaz (KBB) Hastaliklari Anabilim Dallari'nda ortak girisimle (EDSR) ile kombine otolojik T-tup uygulamasi yapilan olgularin geriye yonelik dosya kayitlari incelendi. Hastalarin demografik ozellikleri, komplikasyonlar, ameliyat sonrasi yakinmalari, NLK acikligi, tup alinma ya da dusme suresi, ameliyat sonrasi donemde medikal tedavi ihtiyaci olup olmadigi ve cerrahi revizyon uygulamasi gerekliligi incelendi, takip verileri kaydedildi. Bulgular: Calismaya 27'si kadin, 10'u erkek toplam 37 hastanin 38 operasyonu dahil edildi. Bir hastanin her iki gozu farkli zamanlarda opere edildi. Ortalama takip suresi 8,6 ± 8,3 ay idi. Opere edilen 38 gozun