KMID : 0360220130540040557
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Journal of the Korean Ophthalmological Society 2013 Volume.54 No. 4 p.557 ~ p.561
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Clinical Results of Nasopore¨Þ Nasal Packing on Endonasal Dacryocystorhinostomy
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Baek Ji-Sun
Jang Jae-Woo Choi Hye-Sun Park Tae-Seong Jang Sun-Young
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Abstract
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Purpose: To investigate the effects of Nasopore¨Þ as a nasal packing material on the surgical success rate and prevalence of postoperative complications after endonasal dacryocystorhinostomy (DCR). Methods: The present study included a total of 558 patients (699 eyes) with primary acquired nasolacrimal duct obstruction who underwent endonasal DCR; 227 eyes were packed with Nasopore¨Þ and 472 eyes were packed with Merocel¨Þ. The surgical success rate and postoperative complications such as synechiae, granulation, wound healing (osteal mucosal epithelium epithelialization), postoperative bleeding, infection, and revision rate were compared between the packing materials. Results: The surgical success rate of the Nasopore¨Þ group (99.1%, 98.6%) showed significantly better results than the Merocel¨Þgroup (97.2%, 95.1%) at postoperative 1 and 3 months (p = 0.04, 0.03 Pearson chi-square test), whereas there was no statistically significant difference between the 2 groups in postoperative surgical success rate at 1 week and 6 months. In comparison of postoperative complications, the Nasopore¨Þ group (0%) showed a lower incidence of delayed wound healing (delayed epithelialization of osteal mucosal epithelium) than the Merocel¨Þ group (2.3%; p = 0.013), whereas there was no difference in granulation, synechiae, postoperative bleeding, infection and revision rate (p > 0.05). Conclusions: The Nasopore¨Þ group showed a lower proportion of delayed wound healing and improvement of the surgical success rate at an early postoperative period after endonasal DCR compared to non-absorbable nasal packing material.
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KEYWORD
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Absorbable packing material, Dacryocystorhinostomy, Nasopore?, Postoperative complication, Surgical success
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