The early prophylaxis of postoperative stenosis by means of modifiedendonasal functional dacryocystorhinostomy

Baimenov A.Zh.

Astana Medical University, Astana, Kazakhstan, 010000

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Baimenov A.Zh.

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Journal: Russian Bulletin of Otorhinolaryngology. 2015;80(2): 60‑62

DOI: 10.17116/otorino201580260-62

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Baimenov AZh. The early prophylaxis of postoperative stenosis by means of modifiedendonasal functional dacryocystorhinostomy. Russian Bulletin of Otorhinolaryngology. 2015;80(2):60‑62. (In Russ.)
https://doi.org/10.17116/otorino201580260-62

Подписка 2025 (Russian Bulletin of Otorhinolaryngology)

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The objective of the present study was to increase the effectiveness of the prevention of the postoperative complications by means of the newly proposed modified variant of endonasalfunctional dacryocystorhinostomy. The method was used to treat 230 patients presenting with chronic dacryocystitis. It was shown that the new method permits to prevent the recurrence of the pathological process by virtue of the attachment of the middle nasal turbinates to the nasal septum and the prevention of its adhesion to the dacryostoma. The prevention of fibrin precipitation near the operative field is possible thanks to the ointment discharge through the perforations towards the cavity of the newly formeddacryostoma . Simultaneously, the formation of the organized blood clots is prevented. At a later stage, the silicone plate introduced to adjoin the middle nasal turbinate becomes an obstacle to the formation of adhesions. It is concluded that the proposed functional arrangement of the nasal structures and the outflow of tears makes it possible to reduce the recurrence of the disease to 2.1% of the cases.

Keywords:

dacryocystorhinostomy

middle nasal turbinate

silicone plate

modified method

Authors:

Baimenov A.Zh.

Astana Medical University, Astana, Kazakhstan, 010000

List of references:

Malinovskii G.F. Khirurgicheskoe lechenie bol'nykh s patologiei slezootvodyashchikh putei: Avtoref. dis. ... d-ra med. nauk. Minsk 2007.
Gordeeva L.A., Osipov G.I. Proshloe i nastoyashchee dakriotsistorinostomii. Vestn oftal'm 2004; 3: 49—53.
Magomedov M.M., Artem'ev M.E., Amirov A.M., Medzhidova D.M. Prichiny retsidivov slezotecheniya posle endonazal'noi endoskopicheskoi dakriotsistorinostomii. Ros rinol 2007; 2: 131.
Aznabaev M.T., Valieva G.N., Babushkin A.E. Prichiny neudach i profilaktika rubtsevaniya obrazovannogo soust'ya posle dakriotsistorinostomii. Klin oftal'm. Biblioteka RMZh 2006; 7: 4: 171—172.
Kozlov B.C., Bobrov D.A., Slezkina I.G. Mikroendoskopicheeskaya endonazal'naya dakriorinotsistostomiya. Ros rinol 1998; 2: 63.
Tulebaev R.K., Kozlov V.S., Kudasov T.R., Mukhamadieva G.A., Azhenov T.M., Baimenov A.Zh., Uskenbaeva S.P. Diagnosticheskaya effektivnost' komp'yuternoi tomografii pri zabolevaniyakh nosa i okolonosovykh pazukh. Ros otorinolar (Prilozhenie 2) 2009; 291—294.
Baimenov A.Zh. Primenenie levomekolya v rannem posleoperatsionnom periode posle endoskopicheskoi endonazal'noi dakriotsistorinostomii. Aktual'nye problemy nauki i praktiki otorinolaringologii: Materialy nauch.-prakticheskoi konferentsii. Tashkent 2008; 103—104.
Satybaldina G.K., Baimenov A.Zh., Rozenson R.I. Postoperative management of patients after endoscopic endonasal dacryocystorhinostomy. Folia Otorhinolaryngologiae et Pathologiae Respiratoriae. SPb 2010; 16: 2: 41.

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