Intradermal suture post-surgical scar in external dacryocystorhinostomy: technique and patient satisfaction survey
نویسندگان
چکیده
Purpose: Dacryocystorhinostomy surgery may result in significant postoperative scarring. Although other surgical techniques have been developed that achieve a better aesthetic result, the ab externo technique remains gold standard for this procedure. We telephone survey to evaluate visual impact of skin scars associated with dacryocystorhinostomy. Methods: 470 patients underwent uncomplicated external dacryocystorhinostomy by two consultant surgeons from January 2014 December 2021. Skin incisions were closed using intradermic continuous suture prolene 6.0. The exclusion criteria cases dacryo-phlegmon and lacrimal sac fistulae maceration. effect scar was evaluated, degree patient satisfaction measured questionnaire four subjective perceptions (very good, bad, very bad) given physician first month. responses used as basis literature review. Results: received (100%) Very good perception achieved 75,8% patients. There no post-operative complications noted medical records Conclusions: Given small percentage who complained marked scarring, it should not be main reason deciding on procedure dacryocystorhinostomy, especially elderly Therefore, considered surgically acceptable choice if cosmetic results selection case total stenosis nasolacrimal duct.
منابع مشابه
Causative factors of unsuccessful dacryocystorhinostomy and the surgical technique of revision external dacryocystorhinostomy.
ting the inferior portion or dividing the medial canthal tendon [3, 4] . However, the cut ends must be sutured while closing the wound [4] . Even a disinserted canthal tendon needs to be sutured to the periosteum over the nasal process of maxilla. The authors irrigated methylene blue in the lacrimal sac for identification. This does not facilitate the sac incision site over the internal common ...
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ژورنال
عنوان ژورنال: Advances in Ophthalmology & Visual System
سال: 2023
ISSN: ['2377-4290']
DOI: https://doi.org/10.15406/aovs.2023.13.00436