내시경하 비강내 눈물주머니코안연결술 시행 후 수술용 장갑을 이용한 비강충전술의 효과
The Effect of Clean Glove Finger-Coated Pack after Endoscopic Endonasal Dacryocystorhinostomy
0
조회
0
다운로드
0
인용
0
참고문헌
키워드
초록
To evaluate the surgical results of nasal pack covered with clean glove finger after endoscopic endonasal dacryocystorhinostomy (DCR). Materials and Methods：Seventy-five patients who underwent endoscopic endonasal DCR to treat nasolacrimal duct obstruction from 2007 to July 2011 were studied retrospectively. Female patients were 63 of 75 (84%). The patients were divided into two groups according to used packing materials after endoscoic endonasal DCR: 31 patients packed with Vaseline gauze were assigned to group 1, and the other 44 patients packed with nonabsorbable expandable nasal pack (IVALONⓇ) wrapped with surgical glove finger were assigned to group 2. Nasal pack was soaked with 2% lidocaine after inserted. Six months later, we evaluated the surgical success rate based on the patients’ symptoms and irrigation test results. Results : Success rates at 6 months after surgery were significantly higher in group 2 than in group 1 (group 1 : 54.8%, group 2 : 77.2%, p=0.036). Conclusion：Nasal pack wrapped with surgical glove finger after endoscopic endonasal DCR was increased functional success rate.
Abstract
To evaluate the surgical results of nasal pack covered with clean glove finger after endoscopic endonasal dacryocystorhinostomy (DCR). Materials and Methods：Seventy-five patients who underwent endoscopic endonasal DCR to treat nasolacrimal duct obstruction from 2007 to July 2011 were studied retrospectively. Female patients were 63 of 75 (84%). The patients were divided into two groups according to used packing materials after endoscoic endonasal DCR: 31 patients packed with Vaseline gauze were assigned to group 1, and the other 44 patients packed with nonabsorbable expandable nasal pack (IVALONⓇ) wrapped with surgical glove finger were assigned to group 2. Nasal pack was soaked with 2% lidocaine after inserted. Six months later, we evaluated the surgical success rate based on the patients’ symptoms and irrigation test results. Results : Success rates at 6 months after surgery were significantly higher in group 2 than in group 1 (group 1 : 54.8%, group 2 : 77.2%, p=0.036). Conclusion：Nasal pack wrapped with surgical glove finger after endoscopic endonasal DCR was increased functional success rate.
참고문헌 (17)
- Yavuzer R, "Nasal packing in rhinoplasty and septorhinoplasty: it is wiser to avoid", Plast Reconstr Surg, 103(3), pp.1081~1082 (1999)
- Camirand A, "Nose surgery (rhinoplasty) without external immobilization and without internal packing: a review of 812 cases", Aesthetic Plast Surg, 22(4), pp.245~252 (1998)
- Wang YP, "The effects of Vaseline gauze strip, Merocel, and Nasopore on the formation of synechiae and excessive granulation tissue in the middle meatus and the incidence of major postoperative bleeding after endoscopic sinus surgery", J Chin Med Assoc, 74(1), pp.16~21 (2011)
- Garth RJ, "A comparison of packing materials used in nasal surgery", J Laryngol Otol, 108(7), pp.564~566 (1994)
- Robinson S, "The effect of nasal packing and prednisolone on mucosal healing and reciliation in a sheep model", Rhinology, 42(2), pp.68~72 (2004)
- Seyhan T, "A comfortable and practical nasal packing me-thod: tied Merocel in clear glove finger impregnated with lidocaine-prilocaine cream", Plast Reconstr Surg, 125(3), pp.111e~112e (2010)
- Watson MG, "Nasal surgery: does the type of nasal pack influence the results?", Rhinology, 27(2), pp.105~111 (1989)
- Titiz A, "The effects of merocel and glove finger tampon applications on the nasal septum mucosa of rabbits", Rhinology, 46(2), pp.112~115 (2008)
- 최영재, "비강내 누낭비강문합술시 시행한 양막충전술의 단기 임상 결과", 대한안과학회지, 49(3), pp.384~389 (2008), 대한안과학회
- Rice DH, "Endoscopic intranasal dacryocystorhinostomy results in four patients", Arch Otolaryngol Head Neck Surg, 116(9), pp.1061~ (1990)
- Yoon JH, "Fontanelle and uncinate process in the lateral wall of the human nasal cavity", Laryngoscope, 110(2), pp.281~285 (2000)
- Mannor GE, "The prognostic value of preoperative dacryocystography in endoscopic intranasal dacryocystorhinostomy", Am J Ophthalmol, 113(2), pp.134~137 (1992)
- Dolman PJ, "Comparison of external dacryocystorhinostomy with nonlaser endonasal dacryocystorhinostomy", Ophthalmology, 110(1), pp.78~84 (2003)
- Kuhnel T, "How traumatising is mechanical mucous membrane care after interventions on paranasal sinuses? A histological immunohistochemical study", Laryngorhinootologie, 75(10), pp.575~579 (1996)
- Bolton LL, "Occlusive dressings: therapeutic agents and effects on drug delivery", Clin Dermatol, 9(4), pp.573~583 (1991)
- Falanga V, "Occlusive wound dressings. Why, when, which?", Arch Dermatol, 124(6), pp.872~877 (1988)
- Mertz PM, "Occlusive wound dressings to prevent bacterial invasion and wound infection", J Am Acad Dermatol, 12(4), pp.662~668 (1985)