2023-06-192023-06-192007-08-20Yazıcı, B. ve Akova, B. (2007). ''Simultaneous bilateral external dacryocystorhinostomy''. Acta Ophthalmologica Scandinavica, 85(6), 667-670.1395-3907https://doi.org/10.1111/j.1600-0420.2007.00908.xhttps://onlinelibrary.wiley.com/doi/10.1111/j.1600-0420.2007.00908.xhttp://hdl.handle.net/11452/33076Purpose: To assess the outcome and complications of simultaneous bilateral external dacryocystorhinostomy (DCR) surgery. Methods: The records of all patients who underwent bilateral external DCR in a single session between November 1999 and October 2005 were reviewed. Results: The study cohort comprised 59 patients (50 females, nine males; age range: 6-72 years; mean age: 49 years). Nasolacrimal duct obstruction was acquired primarily in 54 patients, congenitally in three and secondary to sinonasal surgery in two. Thirteen eyes of eight patients had a history of unsuccessful lacrimal surgery. The operation was performed under local anaesthesia plus sedation in 54 patients (92%). Total intraoperative haemorrhage varied from 3 mL to 200 mL (median: 17 mL; mean: 37 mL). Excessive intraoperative haemorrhage (= 100 mL) occurred in five patients (9%). Total duration of surgery varied between 70 and 140 min, with an average of 89 min. Postoperatively, early bleeding requiring intranasal tamponade developed in one patient (2%) and bilateral wound infection in one patient (2%). Surgical success rate was 95%. Mean follow-up time was 8.8 months (range: 3-38 months). Conclusions: This study supports that the simultaneous bilateral external DCR surgery may not adversely affect surgical success and complication rates.eninfo:eu-repo/semantics/openAccessComplicationsDacryocystorhinostomyNasolacrimal duct obstructionSurgical outcomeOpen lacrimal surgeryIntraoperative mitomycin-cOutpatient dacryocystorhinostomyLocal-anesthesiaBlood-lossSuccessOphthalmologyAnesthesia, localChildDacryocystorhinostomyFemaleFollow-up studiesFunctional lateralityHumansLacrimal duct obstructionMaleMiddle agedNasolacrimal ductTime factorsTreatment outcomeArticle0002489228000172-s2.0-3454824820566767085617362363OphthalmologyDacryocystorhinostomy; Lacrimal Duct; Lacrimal Gland DiseaseAntibiotic agentCefazolinCorticosteroidAdolescentAdultAgedArticleChildCohort analysisControlled studyDacryocystorhinostomyEpistaxisFemaleFollow upHemostasisHumanIntraocular hemorrhageLacrimal duct occlusionLocal anesthesiaMajor clinical studyMaleMedical record reviewNose surgeryOperation durationPostoperative periodPriority journalSedationSurgical infectionSurgical techniqueTreatment outcome