Dacriocistorrinostomia endoscópica nasal: Resultados do Hospital Professor Doutor Fernando Fonseca
DOI:
https://doi.org/10.34631/sporl.586Palavras-chave:
Dacriocistite, Epífora, Dacriocistorrinostomia endoscópica, resultadosResumo
Objectivo: analisar os resultados da experiência de um hospital distrital na realização de dacriocistorrinostomias (DCR) endoscópicas e determinar o papel actual desta técnica para tratamento de obstruções da via nasolacrimal.
Materiais e Métodos: Reviram-se os processos clínicos de 67 dacriocistorrinostomias endoscópicas consecutivas realizadas no Hospital Fernando Fonseca entre Janeiro de 1997 e Dezembro de 2012. Analisou-se a clínica apresentada pelos doentes, o nível da estenose detectado na dacriocistografia, as complicações intra e pós-operatórias e os resultados funcionais e anatómicos pós-operatórios.
Resultados: Dos 51 doentes, 12 eram do sexo masculino e 34 do sexo feminino, com média de idades de 57 anos. A epífora foi a queixa predominante. Com a excepção de dois casos, todas as cirurgias foram executadas com instrumentos de dissecção motorizados. O sucesso da DCR endoscópica foi de 78,1%.
Conclusões: A DCR endoscópica é uma técnica simples, segura e eficaz para o tratamento das obstruções distais da via nasolacrimal.
Referências
Christensen AL, Hansen PO, Jørgensen BG, Autzen T. Endoscopic dacryocystorhinostomy seems promising for lacrimal stenosis, Dan Med J 2013; 60(2): A4581.
Ruiz-Coello AM, Rodríguez BA, González CM, Salazar CLG, et al. Results of 12 years of endoscopic dacryocystorhinostomy. Acta Otorrinolaringol Esp 2011; 62 (1): 20−24.
Küpper DS, Demarco RC, Resende R, Anselmo-Lima WT, et al. Endoscopic nasal dacryocystorhinostomy: results and advantages over the external approach. Rev Bras Otorrinolaringol. 2005; 71: 356-60.
Leong SC, MacEwen CJ, White PS. A systematic review of outcomes after dacryocystorhinostomy in adults. Am J of Rhinol & Allergy, 2010; 24 (1): 82-90.
Piédrola MD, Sánchez JF, Reyes ER, Monje Vega E. Dacriocistorrinostomía endoscópica endonasal frente a transcanalicular con láser diodo. Técnicas quirúrgicas y resultados. Acta Otorrinolaringol Esp 2008; 59: 283-7.
Muscatello L, Giudice M, Spriano G, Tondini L. Endoscopic dacryocystorhinostomy: personal experience. Acta Otorhinolaryngol Ital. 2005; 25: 209-13.
McDonogh M, Meiring JH: Endoscopic transnasal dacryocystorhinostomy. J Laryngol Otol 1989; 103: 585-587.
Kingdom TT, Durairaj VD. Endoscopic dacryocystorhinostomy. Op Tech Otolaryngol 2006; 17: 43-48.
Sindwani R, Metson RB, Endoscopic dacryocystorhinostomy. Op Tech Otolaryngol 2008; 19: 172-176.
The British Association of Otorhinolaryngologists–Head and Neck Surgeons. Training standards for endonasal DCR (EN-DCR). ENTUK, The British Association of Otorhinolaryngologists–Head and Neck Surgeons, April 16, 2006. Disponível online em www.entuk.org/publications; acedido em 10 de Janeiro de 2013.
Mickelson SA, Kim DK, and Stein IM. Endoscopic laser-assisted dacryocystorhinostomy. Am J Otolaryngol 1997; 18: 107–111.
Hehar SS, Jones NS, Sadiq SA, et al. Endoscopic holmium:YAG laser dacryocystorhinostomy-safe and effective as a day-case procedure. J Laryngol Otol 1997. 111: 1056–1059.
Onerci M, Orhan M, Ogretmenog˘ lu O, et al. Long-term results and reasons for failure of intranasal endoscopic dacryocystorhinostomy. Acta Otolaryngol 2000; 120: 319–322.
Yigit O, Samancioglu M, Taskin U, et al. External and endoscopic dacryocystorhinostomy in chronic dacryocystitis: Comparison of results. Eur Arch Otorhinolaryngol 2007; 264: 879–885.
Wormald PJ, Tsirbas A. Powered endoscopic dacryocystorhinostomy with mucosal flaps. Op Technin Otolaryngol, 2009; 20: 92-95.
Ben Simon GJ, Joseph J, Lee S, et al. External versus endoscopic dacryocystorhinostomy for acquired nasolacrimal duct obstruction in a tertiary referral center. Ophthalmology 2005; 112: 1463–1468.
Muscatello L, Guidice M, Spriano G, et al. Endoscopic dacryocystorhinostomy: Personal experience. Acta Otorhinolaryngol Ital, 2005, 25: 209–213.
Ibrahim HA, Batterbury M, Banhegyi G, et al. Endonasal laser dacryocystorhinostomy and external dacryocystorhinostomy outcome profile in a general ophthalmic service unit: A comparative retrospective study. Ophthalmic Surg Lasers 2001; 32: 220–227.
Morgan S, Austin M, and Whittet H. The treatment of acute dacryocystitis using laser assisted endonasal dacryocystorhinostomy. Br J Ophthalmol 2004, 88: 139–141.
Umapathy N, Kalra S, Skinner DW, et al. Long-term results of endonasal laser dacryocystorhinostomy. Otolaryngol Head Neck Surg 2006, 135:81–84.
Unlu HH, Toprak B, Aslan A, et al. Comparison of surgical outcomes in primary endoscopic dacryocystorhinostomy with and without silicone intubation. Ann Otol Rhinol Laryngol 2002, 111: 704–709.
Zaman M, Babar TF, and Abdullah A. Prospective randomized comparison of dacryocystorhinostomy (DCR) with and without intubation. Pak J Med Res 2005, 44: 75–78.
Deka A, Bhattacharjee K, Bhuyan SK, et al: Effect of mitomycin C on ostium in dacryocystorhinostomy. Clin Exp Ophthalmol 2006; 34:557-561.
Camara JG, Bengzon AU, Henson RD: The safety and efficacy of mitomycin C in endonasal endoscopic laser-assisted dacryocystorhinostomy. Ophthal Plast Reconstr Surg 2000, 16: 114.
