코경유눈물주머니코안연결술에서 코충전 물질로 Guardcel®의 임상효과
Clinical Effects of Guardcel® Nasal Packing on Endonasal Dacryocystorhinostomy
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목적: 코경유눈물주머니코안연결술에서 흡수성 코충전 물질인 Guardcel® (Genewel. Co, Seongnam, Korea)과 Nasopore® (Polyganics, Rozenburglaan, Groningen, The Netherlands)의 수술 후 임상효과를 비교해보고자 하였다. 대상과 방법: 2017년 3월부터 2019년 1월까지 본원에서 코경유눈물주머니코안연결술을 받은 환자 41명(49안)의 전자의무기록을 후향적으로 분석하였다. Guardcel® 사용군은 27안, Nasopore® 사용군은 22안이었다. Guardcel® 사용군과 Nasopore® 사용군의 술 후 1주, 1개월, 2개월, 6개월째 해부학적 및 기능적 성공률, 출혈을 포함한 술 후 합병증 발생 여부를 평가하여 비교하였다. 결과: Guardcel® 사용군과 Nasopore® 사용군의 술 후 1주, 1개월, 2개월, 6개월째 해부학적 및 기능적 성공률의 유의한 차이는 없었다. 출혈을 포함한 술 후 합병증(유착, 감염, 육아종, 재수술)에서도 두 군 간 유의한 차이는 발견되지 않았다. 결론: 코경유눈물주머니코안연결술에서 코충전 물질로서 Guardcel®은 Nasopore®와 해부학적, 기능적 수술 성공률에 있어 동등한 효과를 나타내며, 수술 후 초기 지혈 효과와 합병증(유착, 감염, 육아종, 재수술)면에서 두 군 간 유의한 차이가 없었다. 따라서 Guardcel®은 코경유눈물주머니코안연결술에서 안전하고 유용하게 사용될 수 있는 또 하나의 흡수성 코충전 물질로 생각된다.
Abstract
Purpose: To compare the clinical effects of Guardcel® (Genewel. Co, Seongnam, Korea) and Nasopore® (Polyganics, Rozenburglaan, Groningen, The Netherlands), two types of absorbable nasal packing materials after endonasal dacryocystorhinostomy. Methods: A total of 41 patients (49 eyes) who underwent endonasal dacryocystorhinostomy from March 2017 to January 2019 were studied retrospectively. Twenty seven eyes were packed with Guardcel® and twenty two eyes with Nasopore®. We compared the postoperative anatomical and functional surgical success rates between the groups at 1 week, 1 month, 2 months, and 6 months , as well as the frequency of postoperative complications including bleeding. Results: There was no significant difference between the Guardcel® and Nasopore® groups in the postoperative anatomical and functional surgical success rate at 1 week, 1 month, 2 months, or 6 months. Also, there was no significant group difference in the incidence of postoperative complications. Conclusions: The anatomical and functional surgical success rates and incidence of postoperative complications, including bleeding, synechiae, infection, granuloma, and revision were similar between the Guardcel® and Nasopore® groups. Therefore, Guardcel® can be used safely and effectively as an absorbable nasal packing material in endonasal dacryocystorhinostomy treatment.
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