粘骨膜与泪囊皮瓣吻合术与结扎夹在翻修性泪囊鼻腔造口术中的应用

IF 1.9 3区医学 Q2 OTORHINOLARYNGOLOGY

European Archives of Oto-Rhino-Laryngology Pub Date : 2024-09-13 DOI:10.1007/s00405-024-08960-y

Ilker Burak Arslan, Isa Dagli, Ibrahim Cukurova

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引用次数: 0

摘要

背景虽然内窥镜泪囊鼻腔吻合术（EDCR）已在初诊和翻修病例中成功实施，但对于最佳手术方法尚未达成共识。结论在 12 例 EDSR 翻修手术患者中，用夹子结扎鼻腔粘骨膜和泪囊皮瓣可确保粘骨膜和泪囊皮瓣的解剖重叠，从而提供更宽的鼻腔造口和平直的上皮衬里。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

Mucoperiosteal and lacrimal sac flap anastomosis with ligating clips in revision dacryocystorhinostomy

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Mucoperiosteal and lacrimal sac flap anastomosis with ligating clips in revision dacryocystorhinostomy

Background

Although endoscopic dacryocystorhinostomy (EDCR) has been performed successfully in primary and revision cases, there has yet to be a consensus on the best surgical approach.

Methods

Excessive granulation, adhesion, and fibrosis, the main causes of unsuccessful EDCR, should be expected more frequently in revision surgery. Anastomosis by ligating the nasal mucoperiosteum and lacrimal sac flaps with clips can minimise the surface of exposed bone, therefore, the possibility of stenosis and failure of the dacryocystorhinostomy.

Conclusions

In 12 revision EDSR patients, ligating clips ensured an anatomical overlap of the mucoperiosteum and sac flap, providing a wider rhinostomy opening and straight epithelial lining.

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来源期刊

European Archives of Oto-Rhino-Laryngology 医学-耳鼻喉科学

CiteScore

5.30

自引率

7.70%

发文量

537

审稿时长

2-4 weeks

期刊介绍： Official Journal of European Union of Medical Specialists – ORL Section and Board Official Journal of Confederation of European Oto-Rhino-Laryngology Head and Neck Surgery "European Archives of Oto-Rhino-Laryngology" publishes original clinical reports and clinically relevant experimental studies, as well as short communications presenting new results of special interest. With peer review by a respected international editorial board and prompt English-language publication, the journal provides rapid dissemination of information by authors from around the world. This particular feature makes it the journal of choice for readers who want to be informed about the continuing state of the art concerning basic sciences and the diagnosis and management of diseases of the head and neck on an international level. European Archives of Oto-Rhino-Laryngology was founded in 1864 as "Archiv für Ohrenheilkunde" by A. von Tröltsch, A. Politzer and H. Schwartze.