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Evaluation of the efficacy of postoperative triamcinolone in endoscopic dacryocystorhinostomy using lacrimal symptom questionnaire

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dc.contributor.author Kapti, Hasan Burhanettin
dc.contributor.author Korkmaz, Hakan
dc.date.accessioned 2024-03-15T08:28:58Z
dc.date.available 2024-03-15T08:28:58Z
dc.date.issued 2022
dc.identifier.citation Kapti, HB., Korkmaz, H. (2022). Evaluation of the efficacy of postoperative triamcinolone in endoscopic dacryocystorhinostomy using lacrimal symptom questionnaire. Int. Ophthalmol., 42(8), 2573-2580. https://doi.org/10.1007/s10792-022-02305-6 en_US
dc.identifier.issn 0165-5701
dc.identifier.issn 1573-2630
dc.identifier.uri http://dx.doi.org/10.1007/s10792-022-02305-6
dc.identifier.uri https://www.webofscience.com/wos/woscc/full-record/WOS:000782219600006
dc.identifier.uri http://earsiv.odu.edu.tr:8080/xmlui/handle/11489/4222
dc.description WoS Categories: Ophthalmology en_US
dc.description Web of Science Index: Science Citation Index Expanded (SCI-EXPANDED) en_US
dc.description Research Areas: Ophthalmology en_US
dc.description.abstract Purpose To evaluate the effect of postoperative nasal triamcinolone spray use in primary endoscopic dacryocystorhinostomy using The Lacrimal Symptom Questionnaire. Methods This study included a series of 50 consecutive retrospective cases with primary endoscopic dacryocystorhinostomy and with silicone stent implantation who were followed up for 6 months postoperatively. Patients using nasal triamcinolone spray for 3 months postoperatively were included in the triamcinolone group. Patients not using triamcinolone were included in the control group. Lacrimal stents were removed 3 months postoperatively. The Lacrimal Symptom Questionnaire (Lac-Q) was performed in the preoperative and postoperative 6th month. Anatomical success, functional success, and changes in lacrimal symptom and social impact scores were compared between the two groups 6 months after surgery. Results Results of 48 endoscopic dacryocystorhinostomies performed on 48 patients (23 triamcinolone group, 25 control group) meeting the inclusion criteria were analyzed. The anatomical success rate (95.7% vs. 84.0%, p = 0.350) and the functional success rate (91.3% vs. 76.0%, p = 0.249) were higher in the triamcinolone group, but this difference was not statistically significant. No complications were observed in the triamcinolone group, whereas complications developed in two patients in the control group (p = 0.490). The mean change in total lac-Q score was 11.0 in the triamcinolone group and 9.0 in the control group (p = 0.011). The mean change in social impact score was 4.0 in the triamcinolone group and 3.0 in the control group (p = 0.005). Mean change in lacrimal symptom score was 6.0 in the triamcinolone group and 6.0 in the control group (p = 0.368) Conclusions Our study indicated that postoperative use of triamcinolone spray increases the success rate of endoscopic dacryocystorhinostomy and also revealed that triamcinolone may also lead to greater improvement in quality of life scores than the control group using a validated questionnaire. en_US
dc.language.iso eng en_US
dc.publisher SPRINGER-DORDRECHT en_US
dc.relation.isversionof 10.1007/s10792-022-02305-6 en_US
dc.rights info:eu-repo/semantics/openAccess en_US
dc.subject Triamcinolone, Endoscopic, Dacryocystorhinostomy, Lacrimal symptom questionnaire en_US
dc.subject OSTIUM GRANULOMAS, SINUS SURGERY, DOUBLE-BLIND, OUTCOMES, POLYPOSIS en_US
dc.title Evaluation of the efficacy of postoperative triamcinolone in endoscopic dacryocystorhinostomy using lacrimal symptom questionnaire en_US
dc.type article en_US
dc.relation.journal INTERNATIONAL OPHTHALMOLOGY en_US
dc.contributor.department Ordu Üniversitesi en_US
dc.contributor.authorID 0000-0002-3960-654X en_US
dc.identifier.volume 42 en_US
dc.identifier.issue 8 en_US
dc.identifier.startpage 2573 en_US
dc.identifier.endpage 2580 en_US


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