压电辅助外泪囊鼻腔吻合术与常规外泪囊鼻腔吻合术的比较

M. Abd El Fattah, T. Moustafa, A. Amin, Rehab M. Kamel, S. Hassan
{"title":"压电辅助外泪囊鼻腔吻合术与常规外泪囊鼻腔吻合术的比较","authors":"M. Abd El Fattah, T. Moustafa, A. Amin, Rehab M. Kamel, S. Hassan","doi":"10.4103/sjamf.sjamf_155_21","DOIUrl":null,"url":null,"abstract":"Aim The aim was to evaluate the role of piezoelectric technique in external dacryocystorhinostomy (DCR) compared with conventional external DCR regarding surgical time, efficacy, safety, and cost. Patients and methods A prospective randomized, comparative interventional study was performed at Al-Azhar University Hospitals, Cairo, between October 2017 and August 2020. A total of 40 eyes of 38 patients who underwent primary external DCR were classified into two groups: group A included 20 eyes that underwent conventional external DCR, and group B included 20 eyes that underwent piezo-assisted external DCR. Patients of both groups received bicanalicular intubation with silicon tube. Surgical outcome was evaluated. Results There was a statistically highly significant increase in the time and the size of osteotomy in group A than that in group B, with P values of less than 0.001 and less than 0.001, respectively. There was a statistically highly significant difference between the two groups regarding the shape of osteotomy, with P value less than 0.001. However, there were statistically insignificant differences between the two groups regarding the amount of bleeding in ml, and injury to nasal mucosa, with P values of 0.202 and 1.000, respectively. Moreover, there were statistically highly significant increases in visibility of scar in group B than that in group A at 1 week and at 6 months postoperatively, with P values of less than 0.001 and 0.002, respectively. Conclusion The use of piezosurgery is a safe and effective tool for external DCR, offering comparable outcomes to more commonly used traditional rongeurs. By reducing damage to adjacent tissue such as nasal mucosa owing to its selective bone cutting properties, this device is an appealing option for the surgeons and to reduce surgeon fatigue. On the contrary, the use of a Kerrison rongeur is associated with lower cost and possibly quicker time.","PeriodicalId":22975,"journal":{"name":"The Scientific Journal of Al-Azhar Medical Faculty, Girls","volume":null,"pages":null},"PeriodicalIF":0.0000,"publicationDate":"2021-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Piezo-assisted external dacryocystorhinostomy versus conventional external dacryocystorhinostomy\",\"authors\":\"M. Abd El Fattah, T. Moustafa, A. Amin, Rehab M. Kamel, S. Hassan\",\"doi\":\"10.4103/sjamf.sjamf_155_21\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"Aim The aim was to evaluate the role of piezoelectric technique in external dacryocystorhinostomy (DCR) compared with conventional external DCR regarding surgical time, efficacy, safety, and cost. Patients and methods A prospective randomized, comparative interventional study was performed at Al-Azhar University Hospitals, Cairo, between October 2017 and August 2020. A total of 40 eyes of 38 patients who underwent primary external DCR were classified into two groups: group A included 20 eyes that underwent conventional external DCR, and group B included 20 eyes that underwent piezo-assisted external DCR. Patients of both groups received bicanalicular intubation with silicon tube. Surgical outcome was evaluated. Results There was a statistically highly significant increase in the time and the size of osteotomy in group A than that in group B, with P values of less than 0.001 and less than 0.001, respectively. There was a statistically highly significant difference between the two groups regarding the shape of osteotomy, with P value less than 0.001. However, there were statistically insignificant differences between the two groups regarding the amount of bleeding in ml, and injury to nasal mucosa, with P values of 0.202 and 1.000, respectively. Moreover, there were statistically highly significant increases in visibility of scar in group B than that in group A at 1 week and at 6 months postoperatively, with P values of less than 0.001 and 0.002, respectively. Conclusion The use of piezosurgery is a safe and effective tool for external DCR, offering comparable outcomes to more commonly used traditional rongeurs. By reducing damage to adjacent tissue such as nasal mucosa owing to its selective bone cutting properties, this device is an appealing option for the surgeons and to reduce surgeon fatigue. On the contrary, the use of a Kerrison rongeur is associated with lower cost and possibly quicker time.\",\"PeriodicalId\":22975,\"journal\":{\"name\":\"The Scientific Journal of Al-Azhar Medical Faculty, Girls\",\"volume\":null,\"pages\":null},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2021-10-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"The Scientific Journal of Al-Azhar Medical Faculty, Girls\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.4103/sjamf.sjamf_155_21\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"\",\"JCRName\":\"\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"The Scientific Journal of Al-Azhar Medical Faculty, Girls","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.4103/sjamf.sjamf_155_21","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
引用次数: 0

摘要

目的评价压电技术在体外泪囊鼻腔吻合术(DCR)中的作用,并与常规体外泪囊鼻腔吻合术(DCR)在手术时间、疗效、安全性和成本等方面进行比较。2017年10月至2020年8月,在开罗爱资哈尔大学附属医院进行了一项前瞻性、随机、比较介入研究。38例原发性外置DCR患者共40只眼分为两组:A组20只眼行常规外置DCR, B组20只眼行压差辅助外置DCR。两组患者均行硅管双管插管。评估手术结果。结果a组截骨时间和截骨大小均较B组增加,P值分别< 0.001和< 0.001,具有高度统计学意义。两组在截骨形状上差异有统计学意义,P值小于0.001。但两组在ml出血量、鼻黏膜损伤方面差异无统计学意义,P值分别为0.202、1.000。术后1周、6个月B组瘢痕可见性明显高于A组,P值分别小于0.001、0.002,差异有统计学意义。结论使用压电手术是一种安全有效的外置DCR工具,其疗效与更常用的传统牙槽器相当。由于其选择性骨切割特性,减少了对鼻黏膜等邻近组织的损伤,该设备是外科医生的一个有吸引力的选择,并减少了外科医生的疲劳。相反,使用Kerrison刮槽机成本更低,而且可能更快。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Piezo-assisted external dacryocystorhinostomy versus conventional external dacryocystorhinostomy
Aim The aim was to evaluate the role of piezoelectric technique in external dacryocystorhinostomy (DCR) compared with conventional external DCR regarding surgical time, efficacy, safety, and cost. Patients and methods A prospective randomized, comparative interventional study was performed at Al-Azhar University Hospitals, Cairo, between October 2017 and August 2020. A total of 40 eyes of 38 patients who underwent primary external DCR were classified into two groups: group A included 20 eyes that underwent conventional external DCR, and group B included 20 eyes that underwent piezo-assisted external DCR. Patients of both groups received bicanalicular intubation with silicon tube. Surgical outcome was evaluated. Results There was a statistically highly significant increase in the time and the size of osteotomy in group A than that in group B, with P values of less than 0.001 and less than 0.001, respectively. There was a statistically highly significant difference between the two groups regarding the shape of osteotomy, with P value less than 0.001. However, there were statistically insignificant differences between the two groups regarding the amount of bleeding in ml, and injury to nasal mucosa, with P values of 0.202 and 1.000, respectively. Moreover, there were statistically highly significant increases in visibility of scar in group B than that in group A at 1 week and at 6 months postoperatively, with P values of less than 0.001 and 0.002, respectively. Conclusion The use of piezosurgery is a safe and effective tool for external DCR, offering comparable outcomes to more commonly used traditional rongeurs. By reducing damage to adjacent tissue such as nasal mucosa owing to its selective bone cutting properties, this device is an appealing option for the surgeons and to reduce surgeon fatigue. On the contrary, the use of a Kerrison rongeur is associated with lower cost and possibly quicker time.
求助全文
通过发布文献求助,成功后即可免费获取论文全文。 去求助
来源期刊
自引率
0.00%
发文量
0
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
确定
请完成安全验证×
copy
已复制链接
快去分享给好友吧!
我知道了
右上角分享
点击右上角分享
0
联系我们:info@booksci.cn Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术官方微信