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مقاله
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Abstract
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Title:
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Early Endonasal Endoscopic Dacryocystorhinostomy in Acute Suppurative Dacryocystitis
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Author(s):
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Farzad Pakdel M.D., Niloofar Pirmarzdashti M.D.
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Presentation Type:
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Oral
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Subject:
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Ophthalmic Plastic and Reconstructive Surgery
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Others:
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Presenting Author:
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Name:
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Farzad Pakdel
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Affiliation :(optional)
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Ophthalmic Plastic & Reconstructive Surgery Department, Farabi Hospital, Eye Research Center, Tehran University of Medical Sciences
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E mail:
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fapakdel@gmail.com
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Phone:
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021-44644963
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Mobile:
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09123701876
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Purpose:
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To Investigate efficacy and safety of early endonasal endoscopic dacrocystorhinostomy (En-DCR) in acute suppurative dacryocystitis (ASD).
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Methods:
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Consecutive patients referred with ASD and lacrimal abscess underwent cold steel En-DCR within five days after starting systemic antibiotic, from June 2013 to September 2014. All patients received systemic antibiotic at least one day before and continued after operation for a minimus of 4 days. Resolution of clinical findings of cellulitis, resolution of epiphora and discharge, patency of lacrimal drainage assessed by subjective modified Munk scale and objective irrigation test.
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Results:
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Twenty-two patients with ASD that underwent En-DCR were included. Mean age of patients was 36.5 (SD= ± 17.8, range=14-74). Fourteen (63.6%) were female. Mean time of resolution of cellulitis was 6.7 (SD=4.06, range= 1-14) days. Mean follow-up time was 8.45 (SD=2.97, range=6-15 mo) months. Two patients (9.1%) showed recurrence of discharge. Three (13.6%) cases had return of fluid on irrigation test. Overall success rate was 86.4%. No remarkable complication was found.
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Conclusion:
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Early En-DCR in acute suppurative dacryocystitis could both hasten resolution of abscess and cellulitis and nasolacrimal duct obstruction with a low morbidity. Early En-DCR could be regarded as an alternative management option in patients with ASD.
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Attachment:
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