J Korean Ophthalmol Soc > Volume 58(5); 2017 > Article
Journal of the Korean Ophthalmological Society 2017;58(5):586-590.
DOI: https://doi.org/10.3341/jkos.2017.58.5.586    Published online May 15, 2017.
Effects of Triamcinolone-soaked Packing for Endonasal Revision in Patients with Failed Endoscopic Dacryocystorhinostomy.
Young Hoon Jung, Ka Hyun Lee
Department of Ophthalmology, Konyang University College of Medicine, Daejeon, Korea. chullan@kyuh.ac.kr
실패한 눈물주머니코안연결술에서 내시경적 재개통술 시 트리암시놀론을 적신 코충전물의 효과
정영훈⋅이가현
건양대학교 의과대학 안과학교실
Correspondence:  Ka Hyun Lee,
Email: chullan@kyuh.ac.kr
Received: 12 January 2017   • Revised: 8 March 2017   • Accepted: 19 April 2017
Abstract
PURPOSE
To evaluate the efficacy of endonasal revision using triamcinolone-soaked nasal packing in patients exhibiting recurrence of epiphora after endoscopic dacryocystorhinostomy. CASE SUMMARY: Four patients (4 eyes) who presented with the chief complaint of recurrence of epiphora after endoscopic dacryocystorhinostomy underwent endonasal revision under local anesthesia. On nasal endoscopy, granulation tissue and membranous tissue around the osseous foramen was removed during endonasal revision. According to the operator's judgement, the osseous foramen was additionally expanded. Following insertion of a silicone tube, triamcinolone-soaked nasal packing was used for intra-nasal packing. The silicone tube was removed after follow-up of more than 12 weeks. Immediately after removing the silicone tube, there was free passage of saline on lacrimal syringing as well as complete resolution of epiphora. At over 6 months of follow-up after tube removal, there was no recurrence of epiphora in any of the 4 patients. CONCLUSIONS: Triamcinolone-soaked nasal packing may be considered in patients with failed endoscopic dacryocystorhinostomy.
Key Words: Endonasal revision;Endoscopic dacryocystorhinostomy;Nasopore;Triamcinolone


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