원저

내시경하 비강내 눈물주머니코안연결술 시행 후 수술용 장갑을 이용한 비강충전술의 효과

김상욱2,3, 장동엽4, 김체론1, 김규남1, 허현도1, 전시영2,3, 서성욱1,*
Sang-Wook Kim2,3, Dong-Yeop Chang4, Che Ron Kim1, Gyu-Nam Kim1, Hyoun-Do Huh1, Sea-Yuong Jeon2,3, Seong Wook Seo1,*
Author Information & Copyright
1경상대학교 의학전문대학원 안과학교실
2이비인후과학교실
3경상대학교 건강과학연구원
4서울대학교 의과대학 이비인후과학교실
1Department of Ophthalmology, Otorhinolaryngology, Gyeongsang National University School of Medicine, Jinju, Korea
2Otorhinolaryngology, Gyeongsang National University School of Medicine, Jinju, Korea
3Institute of Health Sciences, Gyeongsang National University, Jinju, Korea
4Department of Otorhinolaryngology, Seoul National University College of Medicine, Seoul, Korea
*교신저자: 서성욱, 660-702 경남 진주시 칠암동 90 경상대학교 의학전문대학원 안과학교실 전화: (055) 750-8172·전송:(055) 758-4158 E-mail: stramast@naver.com

© Copyright 2012 The Busan, Ulsan, Gyeoungnam Branch of Korean Society of Otolaryngology-Head and Neck Surgery. This is an Open-Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Received: Sep 25, 2012; Revised: Oct 11, 2012; Accepted: Oct 31, 2012

Published Online: May 31, 2020

ABSTRACT

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)

Keywords: 내시경하 비강내 눈물주머니코안연결술; 수술용 장갑; 비강내 충전물; 수술 성공률; 수술 합병증
Keywords: Dacryocystorhinostomy; Natural orifice endoscopic surgery; Gloves, surgical; Tampons, surgical; Treatment outcome