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Dacriocistorrinostomia endoscópica nasal: resultados do Hospital Professor Doutor Fernando Fonseca
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Authors
Advisor(s)
Abstract(s)
Objectivo: analisar os resultados da experiência de um
hospital distrital na realização de dacriocistorrinostomias
(DCR) endoscópicas e determinar o papel actual desta técnica
para tratamento de obstruções da via nasolacrimal.
Materiais e Métodos: Reviram-se os processos clínicos de 67
dacriocistorrinostomias endoscópicas consecutivas realizadas
no Hospital Fernando Fonseca entre Janeiro de 1997 e
Dezembro de 2012. Analisou-se a clínica apresentada pelos
doentes, o nível da estenose detectado na dacriocistografia,
as complicações intra e pós-operatórias e os resultados
funcionais e anatómicos pós-operatórios.
Resultados: Dos 51 doentes, 12 eram do sexo masculino e 34
do sexo feminino, com média de idades de 57 anos. A epífora
foi a queixa predominante. Com a excepção de dois casos,
todas as cirurgias foram executadas com instrumentos de
dissecção motorizados. O sucesso da DCR endoscópica foi de
78,1%.
Conclusões: A DCR endoscópica é uma técnica simples, segura
e eficaz para o tratamento das obstruções distais da via
nasolacrimal.
Objective: analyze the results of a district hospital’s experience in endoscopic dacryocystorhinostomy and state the current role of this technique in the treatment of distal nasolacrimal pathway obstruction. Methods: the clinical records of 67 consecutive endoscopic dacryocystorhinostomies performed in Hospital Professor Doutor Fernando Fonseca between January 1997 and December 2012 were reviewed. The clinical presentation, level of stenosis detected in the dacryocystography, intraoperative and postoperative complications and functional and anatomical results were analyzed. Results: Of the 51 patients, 12 were male and 34 female, with an age-average of 57 years. Epyphora was the main symptom. With the exception of two cases, all surgeries were performed with powered tools. Endoscopic dacryocystorhinostomy success rate was 78,1%. Conclusions: Endoscopic dacryocystorhinostomy is a simple, safe and effective technique for the treatment of distal obstructions of the nasolacrimal pathway.
Objective: analyze the results of a district hospital’s experience in endoscopic dacryocystorhinostomy and state the current role of this technique in the treatment of distal nasolacrimal pathway obstruction. Methods: the clinical records of 67 consecutive endoscopic dacryocystorhinostomies performed in Hospital Professor Doutor Fernando Fonseca between January 1997 and December 2012 were reviewed. The clinical presentation, level of stenosis detected in the dacryocystography, intraoperative and postoperative complications and functional and anatomical results were analyzed. Results: Of the 51 patients, 12 were male and 34 female, with an age-average of 57 years. Epyphora was the main symptom. With the exception of two cases, all surgeries were performed with powered tools. Endoscopic dacryocystorhinostomy success rate was 78,1%. Conclusions: Endoscopic dacryocystorhinostomy is a simple, safe and effective technique for the treatment of distal obstructions of the nasolacrimal pathway.
Description
Keywords
Dacriocistorrinostomia Hospital Prof. Dr. Fernando Fonseca, E.P.E.
Citation
Rev Port Otorrinol Cirur Cerv Fac. 2015;53(2):121-125
Publisher
Sociedade Portuguesa de Otorrinolaringologia e Cirurgia Cérvico-Facial