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ORANGE EKSTRAKLASA
Dołączył: 26 Paź 2010
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Wysłany: Nie 17:24, 13 Mar 2011 |
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YAG laser intranasal surgery nasal lacrimal pore
Anson under serious threat. Hospital ophthalmology, ENT since early 1995, the use of TV monitors Endoscopic YAG laser treatment of nasal lacrimal pore D 30 down (34) in patients with chronic dacryocystitis, were satisfied with the effect, these are as follows : 1. General information: 3O down (34 eyes) with chronic dacryocystitis patients, 17 male side,[link widoczny dla zalogowanych], female 13 down; one side with the prevalence of 26, his eyes sad sick 4; the youngest 13 years old, taken a large 68-year-old, average 39 years { 3 down to dacryocystorhinostomy failure. All patients underwent preoperative examination and the nasal lacrimal sac lipiodol angiography. Use of endoscopic sinus surgery (mine mainly) and intranasal surgical instruments for the production of Tonglu Medical Optical Instrument Factory, Tianjin University of Technology developed the laser television surveillance video recording system 15OWYAG 2. Surgical Methods: 0.5 tetracaine eye three times, 2 to 1 ‰ Kayin Jia little piece of cotton epinephrine topical anesthesia and nasal mucosa infraorbital nerve, anterior ethmoidal nerve block anesthesia. Small tube inserted through the tears to the lacrimal sac lacrimal probe in the medial wall of lacrimal probe lacrimal bone break through the thin bone plate to the nasal cavity, the probe centered in the nasal endoscope under direct vision, from the middle turbinate root leading edge of the top down to the inferior turbinate mucosa Region wall, on the cut edge, revolves around the periosteum using a laser to cure bleeding again, followed by micro gouge to remove part of the lacrimal bone and frontal process of maxilla, forming about 6 × 8ram the size of the bone hole, exposing the medial wall of lacrimal sac, Under the guidance of the probe (assistant can monitor the probe into the TV camera good location) 777-2 factory wall. from tears of a epidural catheter tube inserted through the nasal lacrimal sac made hole leads, in the nasal cavity sets of silicone tube, the beam-side joint fixed on the middle turbinate in Taiwan. epidural catheter from the other side of tears leads to a small point,[link widoczny dla zalogowanych], fixed on the eyebrow turned over. postoperatively for 7 said, lacrimal irrigation, nasal dressing time, BU mold claims, cortisone eye drops three times a day, furosemide Ma intranasal nasal drops 2 times a day. 4-6 weeks extubation. 3. Treatment Results: 30 sides (34 eyes) patients were followed up for 6 - 18 months, the average】 3 months,[link widoczny dla zalogowanych], all patients were satisfied with the results. patients with epiphora,[link widoczny dla zalogowanych], lu pus symptoms disappeared, wash the tear duct patency of the r j leaves very little bleeding and no intraoperative and postoperative complications. Discussion : l990 Rice reported on the small British Endoscopic nasal dacryocystorhinostomy pore surgery., 1996, China's Tan Shuhua, also reported on the operation, were more satisfied with the results. This 3O down (34 eyes) with chronic lacrimal sac Yen also were satisfied with the results. this law than dacryocystorhinostomy incision has the advantage of avoiding the small facial scar left behind, endoscopic operative field clear, precise operation, a high success rate. YAG laser in endoscopic surgery can better complete the film, revolves around the nose cutting, vaporization and coagulation hemostasis. bleeding rarely watch television-based video systems also facilitate the surgery. We feel Wei capsule nasal pore should be appropriate, like ... 6 × 8ram suitable, too small will make it stenosis or atresia, excessive damage to surrounding tissues large vice.
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