14 cases of dacryocystorhinostomy causes of failure of.docVIP

 PAGE \* MERGEFORMAT 5 14 cases of dacryocystorhinostomy causes of failure of [Keywords:] dacryocystorhinostomy Dacryocystorhinostomy for chronic dacryocystitis is one way better, despite the continuous improvement of surgical techniques, their success rate is rising, there is still possibility of failure. In this paper, our hospital 10 years after surgery in 14 cases of failure analysis are reported as follows. A clinical data This article statistics in our hospital since 1999, OK dacryocystorhinostomy 180 cases of 260 patients with anti-1 ~ 10 years, the operation is successful 242, failed 14 cases of 18, accounting for 6.9%. Away from the operative time was a minimum of 3 days and the longest five years, more than 1 to 2 years. The failure of the 14 cases, 1 male and 13 females, aged from 24 to 54 years. Surgical methods and current methods used basically the same, that is, pore-biting clamp, mucosal flap was’]’’[‘-shaped incision, just before the leaves coincide. Two reasons for failure (1) anatomic factors: surgical anatomy and ambiguous relationships are important reasons for failure. In this group one cases of lacrimal sac is too small, surgery can not match, forced anastomosis anastomotic tear, leading to scar formation; two cases of deviation due to bone hole, so that does not correspond to the two coincide with each other block, resulting in a narrow channel; 2 cases of biting holes in the nasal mucosa tearing mistake, resulting in absence, lacrimal sac flap can not match, the nasal cavity in 1 case due to the narrow piece of cotton placed Dicaine wrong, mistakenly as a nasal septum mucosa incision, causing massive hemorrhage , surgical failure. (2) bone hole the size of the surgical effect of: chamber granulation tissue anastomosis is generally believed that blocking the main reason for failure. The author believes that the root causes of poor access caused by bone hole is too small, followed by the blocking factor (granulation tissue, blood c