Evaluation of Different Methods of Posterior Flaps Management in External Dacryocystorhinostomy
试验速览
- 阶段
- 不适用
- 状态
- 招募中
- 发起方
- 入组人数
- 100
- 试验地点
- 2
- 主要终点
- Management of posterior flap in external DCR
研究概览
简要总结
The aim of DCR is to form a new, mucosa-lined pathway between the lacrimal sac and the nasal cavity where tears can bypass a lacrimal obstruction and drain directly in the nose. The original external approach was described in 19046. In 1920s, mucosal flap anastomosis was added to the procedure as a modification7, and since then, many new modifications have been made to improve the original procedure.
详细描述
Aim of The Study
• To compare intraoperative details and postoperative endonasal endoscopic findings and their effects on success rate of external dacryocystorhinostomy with and without anastomosis of posterior mucosal flaps.
Patients and Methods
Study Design: This will be a prospective interventional comparative clinical study. It will include two groups according to the surgical procedure:- Group A: includes 30 eyes that will be treated with external DCR with anastomosis of posterior mucosal flaps .
Group B: includes 30 eyes that will be treated with external DCR with amputation of posterior mucosal flaps .
研究设计
- 研究类型
- Interventional
- 分配方式
- Na
- 干预模型
- Sequential
- 主要目的
- Treatment
- 盲法
- None
盲法说明
- Patients with chronic dacryocystits,
- primary nasolacrimal duct obstruction
- Lacrimal mucocele
- Lacrimal fistula
入排标准
- 年龄范围
- 18 Years 至 75 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Patients with chronic dacryocystits,
- •primary nasolacrimal duct obstruction
- •Lacrimal mucocele
- •Lacrimal fistula
排除标准
- •Recurrent cases.
- •Age under 5 years.
- •Associated nasal pathology.
- •Sever dry eye
- •Patients unfit for general anaesthesia
结局指标
主要结局
Management of posterior flap in external DCR
时间窗: patient evaluated at 2 months after surgery then at 4th month then 6th month
Evaluation of different methods of posterior flaps management in external dacryocystorhinostomy using nasal endoscopy for evaluation of outcomes
次要结局
未报告次要终点
研究者
Mohammed Sayed Abdelmaaboud Abdelmoneem
Mohammed Sayed Abdelmaaboud
Minia University