내시경하 비강내 눈물주머니코안연결술 시행 후 수술용 장갑을 이용한 비강충전술의 효과

Abstract

To evaluate the surgical results of nasal pack covered with clean glove finger after endoscopic endonasal dacryocystorhinostomy (DCR). Materials and Methods：Seventy-five patients who underwent endoscopic endonasal DCR to treat nasolacrimal duct obstruction from 2007 to July 2011 were studied retrospectively. Female patients were 63 of 75 (84%). The patients were divided into two groups according to used packing materials after endoscoic endonasal DCR: 31 patients packed with Vaseline gauze were assigned to group 1, and the other 44 patients packed with nonabsorbable expandable nasal pack (IVALONⓇ) wrapped with surgical glove finger were assigned to group 2. Nasal pack was soaked with 2% lidocaine after inserted. Six months later, we evaluated the surgical success rate based on the patients’ symptoms and irrigation test results. Results : Success rates at 6 months after surgery were significantly higher in group 2 than in group 1 (group 1 : 54.8%, group 2 : 77.2%, p=0.036). Conclusion：Nasal pack wrapped with surgical glove finger after endoscopic endonasal DCR was increased functional success rate.