ISSN: 1300-0365
Dil: Türkçe
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Nasal And Paranasal Sinus Diseases In The Development Ofprimary Acquired Nasolacrimal Duct Obstruction
Nazife Sefİ*, Şeyda Uğurlu**, Nezahat Erdoğan***, Melih Türe****, Ahmet Maden*****
* Başasist.Dr. İzmir Atatürk Eğitim ve Araştırma Hastanesi Göz Kliniği** Uzman Dr. İzmir Atatürk Eğitim ve Araştırma Hastanesi Göz Kliniği*** Uzman Dr. İzmir Atatürk Eğitim ve Araştırma Hastanesi Radyoloji Kliniği**** Asistan Dr. İzmir Atatürk Eğitim ve Araştıma Hastanesi Göz Kliniği***** Prof. Dr. İzmir Atatürk Eğitim ve Araştıma Hastanesi Göz Kliniği, İZMİR
Purpose: To determine the role of nasal and paranasal sinus diseases in the develepment of primary acquired nasolacrimal duct obstruction (PANDO).
Method and Material: Computerized tomographic dacryocystography images of 20 patients with PANDO were compared to an age and sex matched control group of 20 individuals without nasolacrimal duct obstruction and no known facial trauma.
Results: Average age of study group and the control group were 41.0±19.2 and 45.4±19.5 years, respectively. Each patient in the study group (%100) had at least one nasal pathology or paranasal sinus disease (nasal septal deviation, rhinitis, middle concha variations, inferior concha hypertrophy, osteomeatal complex disease, maxillary and ethmoidal sinusitis) whereas 75% of the patients in the control group did so. (p=0.047). None of the described pathologic changes individualy reached statistical significance when both groups were compared. An average of radiologically evident pathologic findings of 3.15 per person in the study group and 1.65 per person in the control group were determined.
Conclusion: Coexistance of a multiplicity of nasal patology or paranasal sinus diseases appears to have a role in the development of PANDO.Keywords: Nasolacrimal duct obstruction, Dacyrocystitis, Nasal pathology, Paranazal sinus diseases,
Computerized tomographic dacryocystographyTurkiye Klinikleri J Ophthalmol 2001, 10:8-12
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