ORIGINAL ARTICLE Contributing Factors to Prevent Prolonged Epiphora After Maxillectomy Nam-Kyung Yeo, MD; Jong Hwan Wang, MD; Yoo-Sam Chung, MD, PhD; Yong Ju Jang, MD, PhD; Bong-Jae Lee, MD, PhD Objective: To analyze the incidence of prolonged relationship between other factors (type of tumor, ra- epiphora after maxillectomy according to transected na- diotherapy, and timing of tube removal) and the inci- solacrimal duct management technique, type of tumor, dence of prolonged epiphora. Prolonged epiphora was radiotherapy, and timing of tube removal and perfor- defined as persistent if it lasted longer than 6 months. mance of dacryocystorhinotomy. Results: The overall incidence of prolonged epiphora Design: Retrospective medical record review. was 15.6% (14 of 90 cases). The prolonged epiphora rates differed according to the management technique (no pro- Settings: University hospitals. cedure, 27.3% [3 of 11 cases]; silicone tube, 7.0% [4 of 57 cases]; transcanalicular Silastic stenting, 66.7% [4 of Patients: We studied 89 patients (90 cases) who un- 6 cases]; marsupialization, 18.8% [3 of 16 cases]; P=.002). derwent nasolacrimal duct transection during maxillec- The silicone tube technique showed the lowest rate (odds tomy with preservation of orbital contents for the man- ratio=0.20, P=.06). In contrast, the incidence of pro- agement
JAMA Otolaryngology - Head & Neck Surgery – American Medical Association
Published: Mar 1, 2010
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