外部ダクリオシストロヒノストミーにおける外科手術中のイアトロゲン性鼻内金属異体除去
Emirhan Ozkul1, Mehmet Serhat Mangan2, Hatice Tekcan2
1Department of Ophthalmology, University of Health Sciences, Sancaktepe Prof Dr Ilhan Varank Education and Research Hospital.
The Journal of craniofacial surgery
|September 1, 2025
まとめ
外部ダクリオシストロニオストミー (DCR) 手術中に発生した珍しい合併症は,外科器具の先端が切断されたときでした. この金属の異体は 手術中に成功裏に回収され 器具と患者の解剖学を強調しました
科学分野:
- 眼科について
- 耳鼻喉科
- 外科 革新
背景:
- 外部ダクリオシストロニオストミー (DCR) は,鼻涙管の閉塞に対する標準的な手術である.
- 一般的には安全ですが,特に複雑な解剖を持つ患者では,まれに手術中の合併症が発生することがあります.
研究 の 目的:
- 外部ダクリオシストロニオストミーにおける 異例の手術中の合併症を報告する.
- 手術における解剖学的課題と 器具の限界を認識する重要性を強調する.
主な方法:
- 外部ダクリオシストロニオストミーの手順の詳細を記載した症例報告
- 外科器具の断片を手術中に特定し回収する
主要な成果:
- ケリスンの拳の先が骨折で 鼻腔に固まりました
- 金属の異体が見つかり フォースプスを使って 外科手術で除去されました
結論:
- このケースは,ダクリオシストロヒノストミー,特に難しい解剖学における 外科器具の故障のリスクを強調しています.
- 手術前のイメージングと 触覚フィードバックを含む 慎重な手術技術は このような稀な合併症の予防と管理に不可欠です
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