J Korean Ophthalmol Soc.
1997 May;38(5):710-714.
Middle Turbinectomy During Dacryocystorhinostomy
- Affiliations
-
- 1Department of Opthalomology, Seoul National University College of Medicine, Seoul, Korea.
- 2Department of Opthalomology, Kangbuk Samsung Hospital, Seoul, Korea.
Abstract
- Successful lacrimal surgery requires the greatest familiarity with anterior and superior portion of the intranasal cavity. Some racial differences exist between Asians and Caucasians in nasal surgical anatomy. Eighty four subjects of eighty two patients who received dacryocytorhinostomy between February 1991 and October 1995 were studied retrospectively. Of the 84 subjects, the middle turbinectomy was required in 65 cases(77.4%). An anatomical success rate of 94.7% and functional success rate of 83.3% were obtained over a 7.9 month follow-up period. Frequency of turbinate surgery was relatively high because large, anteriorly located middle turbinate is more frequent in Asians than Caucasians. In many cases, knowledge of intranasal surgical anatomy and intranasal procedures are required for successful lacrimal surgery.
