Endoscopic dacryocystorhinostomy gastrostomy in ophthalmology.docVIP

 PAGE \* MERGEFORMAT 10 Endoscopic dacryocystorhinostomy gastrostomy in ophthalmology Author: Zheng Yanxia, Wei Bao-feng, Xu Shuling 【Abstract】 Objective: To investigate the endoscopic lacrimal sac, nasal gastrostomy in ophthalmology. Methods: 24 patients (26 eyes) with chronic dacryocystitis OK sinus endoscopic lacrimal sac, nasal PEG. Results: 23 1 cured, 3 improved. Conclusion: Endoscopic lacrimal sac, nasal gastrostomy in ophthalmology, positive effect of the treatment of chronic dacryocystitis. Keywords: dacryocystitis; dacryocystorhinostomy PEG; sinus endoscopy Since 1999, our line of sinus endoscopic gastrostomy dacryocystorhinostomy for chronic dacryocystitis in 24 patients (26), to obtain a good therapeutic effect, are reported below. 1 Materials and Methods 1.1 General information on this group a total of 24 cases (26), male 8 cases (8), female 16 cases (18); age from 31 to 64 years of age; clinical manifestations of long-term epiphora, course of disease from 6 months to 20 years; After all the different drugs and treatment of lacrimal duct irrigation. Preoperative angiography and Lipiodol-line lacrimal sinus CT scans, of which 2 cases were complicated with nasal septum deviation. 1.2 surgical patient was supine, nose and facial routine disinfection, sterile bag shop square. Of 1% ropivacaine 20ml 1% adrenaline 2ml mixture of cotton piece-line shrink nasal mucous membrane anesthesia and repeated three times, adrenaline solution containing 1% lidocaine infiltration anesthesia to do the incision, anterior ethmoidal nerve and sphenopalatine nerves anesthesia. Flat front middle turbinate attachment to the uncinate process for the post-industry do with the sickle-shaped knife arc diameter of about 1.5cm incision to the bone surface, exposed frontal process of maxilla and the lacrimal bone in front. Bone chisel with the removal of frontal process of maxilla and some of the lacrimal bone to form a dia