Comparison of Modifications in Flap Anastomosis Patterns and Skin Incision Types for External Dacryocystorhinostomy: Anterior-Only Flap Anastomosis with W Skin Incision versus Anterior and Posterior Flap Anastomosis with Linear Skin Incision
Purpose. To compare the outcomes of external dacryocystorhinostomy (E-DCR) by using two different flap anastomosis patterns and skin incision types. Methods. This study included 79 patients (88 eyes) with lacrimal drainage system disorders who underwent E-DCR surgery. Fifty eyes of 44 patients (grou...
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Wiley
2015-01-01
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| Series: | The Scientific World Journal |
| Online Access: | http://dx.doi.org/10.1155/2015/170841 |
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| author | Burcu Dirim Selam Yekta Sendul Mehmet Demir Erdem Ergen Zeynep Acar Ali Olgun Semra Tiryaki Hakan Sensoz Dilek Guven |
| author_facet | Burcu Dirim Selam Yekta Sendul Mehmet Demir Erdem Ergen Zeynep Acar Ali Olgun Semra Tiryaki Hakan Sensoz Dilek Guven |
| author_sort | Burcu Dirim |
| collection | DOAJ |
| description | Purpose. To compare the outcomes of external dacryocystorhinostomy (E-DCR) by using two different flap anastomosis patterns and skin incision types. Methods. This study included 79 patients (88 eyes) with lacrimal drainage system disorders who underwent E-DCR surgery. Fifty eyes of 44 patients (group A) underwent E-DCR by suturing anterior and posterior flaps (H-flap) of the lacrimal sac with curvilinear skin incision whereas in 38 eyes of 35 patients (group B) DCR was performed by suturing only anterior flaps (U-flap) with W skin incision. Results. The success rate was evaluated according to lacrimal patency and scar assessment scores. Patency was achieved in 78 patients (88.6%). In terms of groups, patency was 44 eyes (88.0%) in group A and 34 eyes (89.5%) in group B. There was no statistically significant difference in the success rates of lacrimal patency between the two groups. Further, there was no statistically significant difference concerning cutaneous scar scores. Conclusion. Our study suggests that anastomoses of only anterior flaps or both anterior and posterior flaps have similar success rates; suturing only anterior flaps is easier to perform and shortens the operative time. In addition, W skin incision is a reasonable alternative to curvilinear incision for reducing scar formation. |
| format | Article |
| id | doaj-art-46ba29502b24487f8a59e730f7eb3958 |
| institution | OA Journals |
| issn | 2356-6140 1537-744X |
| language | English |
| publishDate | 2015-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | The Scientific World Journal |
| spelling | doaj-art-46ba29502b24487f8a59e730f7eb39582025-08-20T02:37:49ZengWileyThe Scientific World Journal2356-61401537-744X2015-01-01201510.1155/2015/170841170841Comparison of Modifications in Flap Anastomosis Patterns and Skin Incision Types for External Dacryocystorhinostomy: Anterior-Only Flap Anastomosis with W Skin Incision versus Anterior and Posterior Flap Anastomosis with Linear Skin IncisionBurcu Dirim0Selam Yekta Sendul1Mehmet Demir2Erdem Ergen3Zeynep Acar4Ali Olgun5Semra Tiryaki6Hakan Sensoz7Dilek Guven8Sisli Hamidiye Etfal Training and Research Hospital, Halaskargazi Avenue, Etfal Street, Sisli, 34371 Istanbul, TurkeySisli Hamidiye Etfal Training and Research Hospital, Halaskargazi Avenue, Etfal Street, Sisli, 34371 Istanbul, TurkeySisli Hamidiye Etfal Training and Research Hospital, Halaskargazi Avenue, Etfal Street, Sisli, 34371 Istanbul, TurkeySisli Hamidiye Etfal Training and Research Hospital, Halaskargazi Avenue, Etfal Street, Sisli, 34371 Istanbul, TurkeySisli Hamidiye Etfal Training and Research Hospital, Halaskargazi Avenue, Etfal Street, Sisli, 34371 Istanbul, TurkeySisli Hamidiye Etfal Training and Research Hospital, Halaskargazi Avenue, Etfal Street, Sisli, 34371 Istanbul, TurkeySisli Hamidiye Etfal Training and Research Hospital, Halaskargazi Avenue, Etfal Street, Sisli, 34371 Istanbul, TurkeySisli Hamidiye Etfal Training and Research Hospital, Halaskargazi Avenue, Etfal Street, Sisli, 34371 Istanbul, TurkeySisli Hamidiye Etfal Training and Research Hospital, Halaskargazi Avenue, Etfal Street, Sisli, 34371 Istanbul, TurkeyPurpose. To compare the outcomes of external dacryocystorhinostomy (E-DCR) by using two different flap anastomosis patterns and skin incision types. Methods. This study included 79 patients (88 eyes) with lacrimal drainage system disorders who underwent E-DCR surgery. Fifty eyes of 44 patients (group A) underwent E-DCR by suturing anterior and posterior flaps (H-flap) of the lacrimal sac with curvilinear skin incision whereas in 38 eyes of 35 patients (group B) DCR was performed by suturing only anterior flaps (U-flap) with W skin incision. Results. The success rate was evaluated according to lacrimal patency and scar assessment scores. Patency was achieved in 78 patients (88.6%). In terms of groups, patency was 44 eyes (88.0%) in group A and 34 eyes (89.5%) in group B. There was no statistically significant difference in the success rates of lacrimal patency between the two groups. Further, there was no statistically significant difference concerning cutaneous scar scores. Conclusion. Our study suggests that anastomoses of only anterior flaps or both anterior and posterior flaps have similar success rates; suturing only anterior flaps is easier to perform and shortens the operative time. In addition, W skin incision is a reasonable alternative to curvilinear incision for reducing scar formation.http://dx.doi.org/10.1155/2015/170841 |
| spellingShingle | Burcu Dirim Selam Yekta Sendul Mehmet Demir Erdem Ergen Zeynep Acar Ali Olgun Semra Tiryaki Hakan Sensoz Dilek Guven Comparison of Modifications in Flap Anastomosis Patterns and Skin Incision Types for External Dacryocystorhinostomy: Anterior-Only Flap Anastomosis with W Skin Incision versus Anterior and Posterior Flap Anastomosis with Linear Skin Incision The Scientific World Journal |
| title | Comparison of Modifications in Flap Anastomosis Patterns and Skin Incision Types for External Dacryocystorhinostomy: Anterior-Only Flap Anastomosis with W Skin Incision versus Anterior and Posterior Flap Anastomosis with Linear Skin Incision |
| title_full | Comparison of Modifications in Flap Anastomosis Patterns and Skin Incision Types for External Dacryocystorhinostomy: Anterior-Only Flap Anastomosis with W Skin Incision versus Anterior and Posterior Flap Anastomosis with Linear Skin Incision |
| title_fullStr | Comparison of Modifications in Flap Anastomosis Patterns and Skin Incision Types for External Dacryocystorhinostomy: Anterior-Only Flap Anastomosis with W Skin Incision versus Anterior and Posterior Flap Anastomosis with Linear Skin Incision |
| title_full_unstemmed | Comparison of Modifications in Flap Anastomosis Patterns and Skin Incision Types for External Dacryocystorhinostomy: Anterior-Only Flap Anastomosis with W Skin Incision versus Anterior and Posterior Flap Anastomosis with Linear Skin Incision |
| title_short | Comparison of Modifications in Flap Anastomosis Patterns and Skin Incision Types for External Dacryocystorhinostomy: Anterior-Only Flap Anastomosis with W Skin Incision versus Anterior and Posterior Flap Anastomosis with Linear Skin Incision |
| title_sort | comparison of modifications in flap anastomosis patterns and skin incision types for external dacryocystorhinostomy anterior only flap anastomosis with w skin incision versus anterior and posterior flap anastomosis with linear skin incision |
| url | http://dx.doi.org/10.1155/2015/170841 |
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