내시경하 비강내 눈물주머니코안연결술 시행 후 수술용 장갑을 이용한 비강충전술의 효과

Objective: To evaluate the surgical results of nasal pack covered with clean glove finger after endoscopic endonasal dacryocystorhinostomy (DCR). Materials and Methods: Seventy-five patients who underwent endoscopic endonasal DCR to treat nasolacrimal duct obstruction from 2007 to July 2011 were studied retrospectively. Female patients were 63 of 75 (84%). The patients were divided into two groups according to used packing materials after endoscoic endonasal DCR: 31 patients packed with Vaseline gauze were assigned to group 1, and the other 44 patients packed with nonabsorbable expandable nasal pack (IVALON^®) wrapped with surgical glove finger were assigned to group 2. Nasal pack was soaked with 2% lidocaine after inserted. Six months later, we evaluated the surgical success rate based on the patients’ symptoms and irrigation test results. Results: Success rates at 6 months after surgery were significantly higher in group 2 than in group 1 (group 1 : 54.8%, group 2 : 77.2%, p=0.036). Conclusion: Nasal pack wrapped with surgical glove finger after endoscopic endonasal DCR was increased functional success rate. (J Clinical Otolaryngol 2012;23:218–223)