막성 폐쇄로 인하여 실패한 비강내 누낭비강문합술 시행 환자에서 트리암시놀론 사용의 효과

Revision Endoscopic Dacryocystorhinostomy with Triamcinolone Injection under Assisted Local Anaesthetic

Purpose: To determine the success rate of revision endoscopic dacryocystorhinostomy (DCR) with an injection of intraoperative triamcinolone under local anaesthesia. Methods: In a prospective, nonrandomized consecutive case series, 32 adult patients (36 eyes) with failed primary endoscopic DCR underwent revision surgery under local anaesthesia. During endoscopic DCR, 0.2 mL of triamcinolone was injected into the lacrimal sac and scar tissue surrounding the surgical osteum. The surgical success rate was then determined based on anatomical patency and resolution of patient symptoms Results: There were 32 patients (25 female and 7 male) and four had bilateral surgery. Patient ages ranged from 20 to 81 (mean 61). Anatomical patency was achieved in 36 cases (100%) and symptoms had improved in 32 of 36 cases (88.9%). Remaining four failed cases had continued symptoms even anatomical patency. Conclusions: Revision endoscopic DCR had a high success rate (88.9%) when an injection of triamcinolone was administered intraoperatively.