J Korean Ophthalmol Soc.  2008 Jun;49(6):871-877. 10.3341/jkos.2008.49.6.871.

Clinical Consideration of Uncinectomy for Endonasal Dacryocystorhinostomy

Affiliations
  • 1Department of Ophthalmology, College of Medicine, Inje University, Pusan, Korea. eyeyang@inje.ac.kr
  • 2Ophthalmology Research Foundation, Inje University, Pusan, Korea.

Abstract

PURPOSE: To evaluate the effects of uncinectomy for osteotomy method during endonasal dacryocystorhinostomy (DCR).
METHODS
This retrospective review study comprised 102 nasolacrimal duct obstruction patients that underwent endonasal dacryocystorhinostomy with uncinectomy at our hospital between 2003 and 2006. The patients were classified into two groups based on records of preoperative endoscopic examination. Group A consisted of patients who had no nasal cavity abnormality, and Group B comprised patients who had a nasal cavity abnormality but received no treatment.
RESULTS
Sixty-four patients were included in Group B. The success rates of endonasal DCR were 89.5% in Group A and 90.6% in Group B, with no statistically significant difference between the two groups (p>0.99). There were no cases of mucosal burn, orbital fat prolapse, spinal fluid leak, maxillary sinusitis, or delayed bleeding.
CONCLUSIONS
Anterior resection of the uncinate process is the most important surgical step to expose the medial aspect of the lacrimal fossa and to form the precise location of osteotomy during endonasal dacryocystorhinostomy.

Keyword

Anterior Uncinectomy; Endonasal Dacryocystorhinostomy; Nasolacrimal Duct Obstruction
Full Text Links
  • JKOS
Actions
Cited
CITED
export Copy
Close
Share
  • Twitter
  • Facebook
Similar articles
Copyright © 2021 by Korean Association of Medical Journal Editors. All rights reserved.     E-mail: koreamed@kamje.or.kr