The Effect of Postoperative Intranasal Steroid in Endonasal Dacryocystorhinostomy.

Sung, Hyun Kyung; Kim, Joon Hyun; Jeong, Jin Hyeok

Original Article

Journal of the Korean Ophthalmological Society 2004;45(8):1233-1238.
Published online August 1, 2004.

The Effect of Postoperative Intranasal Steroid in Endonasal Dacryocystorhinostomy.

Hyun Kyung Sung, Joon Hyun Kim, Jin Hyeok Jeong

¹Department of Ophthalmology, Hanyang University College of Medicine, Seoul, Korea. joshua115@hanyang.ac.kr
²Department of Otolaryngology, Hanyang University College of Medicine, Seoul, Korea.

비내시경 누낭비강문합술후 비강내 스테로이드의 효과

성현경 ( Hyun Kyung Sung ) , 김준현 ( Joon Hyun Kim ) , 정진혁 ( Jin Hyeok Jeong )

Abstract

PURPOSE
Endonasal dacryocystorhinostomy (DCR) has been performed commonly in patients with chronic epiphora due to nasolacrimal duct obstruction. The most frequent cause of DCR failure is obstruction of the osteotomy site due to inflammation and granuloma. We used postoperative nasal steroid spray to suppress inflammation, and growth of granuloma, and to increase the success rate. METHODS: Between November 2002 and August 2003, 48 patients (55 eyes) underwent endonasal DCR in Hanyang University Guri Hospital. The patients were classified into two groups: those who took nasal steroid spray and those who did not. RESULTS: Thirteen cases showed recurrent epiphora. The total success rate of endonasal DCR was 76.4% (42/55). The success rate of the steroid group at 83.9% (26/31), was higher than that of the non-steroid group at 66.7% (16/24), but the difference was not statistically significant (P=0.20, x2 test). CONCLUSIONS: The nasal steroid spray failed to increase the patency rates in endonasal DCR.

Key Words: Endonasal dacryocystorhinostomy;Granuloma;Steroid