鼻副鼻腔癌治療後の鼻涙管閉塞症に対する鼻内内視鏡下涙囊鼻腔吻合術の検討

DOI Web Site Web Site
  • 南 和彦
    埼玉医科大学国際医療センター頭頸部腫瘍科・耳鼻咽喉科
  • 大庭 晋
    埼玉医科大学国際医療センター頭頸部腫瘍科・耳鼻咽喉科
  • 久場 潔実
    埼玉医科大学国際医療センター頭頸部腫瘍科・耳鼻咽喉科
  • 林 崇弘
    埼玉医科大学国際医療センター頭頸部腫瘍科・耳鼻咽喉科
  • 中平 光彦
    埼玉医科大学国際医療センター頭頸部腫瘍科・耳鼻咽喉科
  • 菅澤 正
    埼玉医科大学国際医療センター頭頸部腫瘍科・耳鼻咽喉科

書誌事項

タイトル別名
  • A Study on Dacryocystorhinostomy in Patients with Nasolacrimal Obstruction after Radiation Therapy for Sinonasal Malignancies
  • 臨床 鼻副鼻腔癌治療後の鼻涙管閉塞症に対する鼻内内視鏡下涙囊鼻腔吻合術の検討
  • リンショウ ハナ フクビコウガン チリョウ ゴ ノ ハナ ルイカン ヘイソクショウ ニ タイスル ハナ ナイ ナイシキョウ カ ルイノウ ビコウ フンゴウジュツ ノ ケントウ

この論文をさがす

抄録

Concurrent chemoradiation therapies such as superselective arterial infusion and concomitant radiotherapy (RADPLAT) have been successful in treating sinonasal malignancies. One often neglected side effect of sinonasal chemoradiation therapy is nasolacrimal obstruction due to the proximity of the sinonasal sinus to the orbit. This causes dacryorrhea and the reduction in quality of life is inevitable. A dacryocystorhinostomy (DCR) is an effective method to reconstruct lachrymal passage. To our knowledge, however, there is no report of this method being employed to treat nasolacrimal obstruction caused by radiation therapy of sinonasal malignancies.<br/>We performed DCRs for lachrymal passage reconstruction on 6 patients (5 male, 1 female with median age of 64.5 yr), who had exhibited nasolacrimal obstruction after radiation therapy for sinonasal malignancies. Dacryorrhea completely disappeared in 4 patients within one week postoperatively, and the symptom was alleviated significantly in the other two patients. Although the number of cases studied so far is limited, DCR is probably effective in reducing the symptom rather rapidly. We propose to continue performing DCRs on patients suffering from nasolacrimal obstruction after radiation therapy and to examine its long-term effectiveness.

収録刊行物

キーワード

詳細情報 詳細情報について

問題の指摘

ページトップへ