Leyla Yavuz Saricay^1,2*, Ozlen Rodop Ozgur³, Levent Akcay⁴ and Cem Selvi⁵

¹Department of Ophthalmology, Boston Children's Hospital, Boston, MA, USA
²Harvard Medical School, Boston, MA, USA
³Hisar Hospital, Istanbul, Turkey
⁴Dunyagoz Hospital, Istanbul, Turkey
⁵Kudret Eye Hospital, Istanbul, Turkey

*Corresponding Author: Leyla Yavuz Saricay, Department of Ophthalmology, Boston Children's Hospital, Boston, MA, USA.

Received: June 09, 2022; Published: June 21, 2022

Abstract

Purpose: To compare the clinical outcomes of external dacryocystorhinostomy (DCR) by using two different methods, a double flap method (both anterior and posterior flap) or a single flap method (only anterior flap).

Methods: A retrospective, comparative, single-center clinical trial of two hundred ninety-five patients who received external DCR with anterior and posterior flap (Group A) and only anterior flap anastomosis (Group B). The demographics, clinical findings, and the nasolacrimal canal function whereas evaluated before and after the surgery during follow-up. The function of the nasolacrimal canal was evaluated with inferior punctum irrigation/lavage. The successful surgical outcome was defined objectively by irrigation of the punctum without regurgitation or force and subjectively by the absence of the closure.

Results: At the end of the average 33 ± six months follow-up period, the overall success rate of DCR was %90,2. There was no significant difference in the success rate between the two groups (p-value 0.45, p > 0.05), with  %91.03  in Group A and  %89.37 in Group B. No significant intraoperative or postoperative complications were noted.

Conclusion: We believe that anastomosis of posterior flaps does not affect the success rate of external DCR in long-term follow-up. The single flap is easier and quicker to perform than the double flap method and has the advantage of double flaps DCR.

Keywords: Dacryocystorhinostomy (DCR); Italy; Flap

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Citation

Citation: Leyla Yavuz Saricay., et al. “Double Flap or Single Flap? Long Term Results".Acta Scientific Ophthalmology 5.7 (2022): 40-43.

Copyright

Copyright: © 2022 Leyla Yavuz Saricay., et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.