The purpose of this study to compare lacrimal sac flap preserving techniques with or without fibrin glue in patients undergoing endoscopic endonasal dacryocystorhinostomy. A retrospective study included 132 patients who underwent unilateral endonasal dacryocystorhinostomy between February 2011 and March 2016. Patients were divided into 2 groups: the nonfibrin glue group (n = 66) and fibrin glue anastomosis group (n = 66). Surgical success was defined as the patients’ subjective report of relief of epiphora and objective endoscopic confirmation of ostium patency confirmed by a positive functional dye test. These parameters were compared between the 2 groups. Both groups were similar, in terms of demographic and clinical characteristics. The surgical success rate was significantly higher in the fibrin glue anastomosis group (95.5%) than in the nonfibrin glue group (84.8%; P = .041). Complication rate was 6.1% in the nonfibrin glue group, whereas in the fibrin glue anastomosis group, it was 4.5%. The complication rate was similar in both groups ( P = .99). Creation of an anastomosis between the lacrimal sac flaps and the nasal mucosa using fibrin glue improves the outcome of endonasal endoscopic dacryocystorhinostomy.

Objectives To evaluate the effect of laryngopharyngeal reflux (LPR) and antireflux treatment on peak nasal inspiratory airflow (PNIF). Design Prospective observational study was conducted. Setting Tertiary otorhinolaryngology clinic. Participants Adults with LPR and healthy controls. Main outcome measures PNIF measurements were performed on 60 patients who applied with complaints suggestive of LPR having higher Reflux Symptom Index (RSI) (>13) and Reflux Finding Scores (RFS) scores (>7). Proton pump inhibitor (PPI) treatment was started and PNIF measurements were repeated two months later. A total of 100 patients without any history of LPR and sinonasal disease were included in the study. Results A statistically significant increase was observed in PNIF values after proton pump inhibitor treatment. The mean PNIF values of the LPR patients were 133.83 ± 27.99 L/min and 149.92 ± 23.23 L/min before and after treatment, respectively. The mean PNIF value in the control group was 145.0 ± 25.92 L/min. PNIF values were significantly lower in the LPR relative to the control group (P < .05). Conclusion Laryngopharyngeal reflux decreases PNIF. This negative effect on PNIF disappears after antireflux medication. The results of the study indicate that PNIF measurements may be an appropriate method for clinical diagnosis of LPR and evaluation of treatment results.

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Surgical therapy of nasal polyposis should be thought in a wide spectrum from a limited intranasal polypectomy to external frontoethmosphenoidectomy. In last years surgery of nasal polyposis had reached to a less invasive level with the developments in the era of diagnostic tools and endoscopic equipments. Although surgical therapy stili continues to play an important role in the management of this disorder, when it is combinated with medical treatment, very long remissions have been seen. Between 1996 and 1998, 36 patients were operated tor nasal polyposis in our clinic with endoscopic sinus surgery technique. In 36 nose, 69 cavity polyp existing areas and operations have been determined. Preoperative and postoperative symptoms have been evaluated. Primary sinus settlements were as follows; in uncinate proces-middle turbinate area %92, on bulla surface-hiatus semilunaris %75, in infundibulum %75, in frontal recess %36, in sinus turbinate % 55, inside of the bulla %58, in supra and retrobulber recess %48, in posterior etmoidal sinus %46, and on the middle turbinate %20. Fourteen cases (%39) had diffuse nasal polyposis. Most prominent symptoms in preoperative period were nasal obstruction (94), fullness- congestion (78), and headache (58); in postoperative period were nasal secretion (%44), fascial headache (%31), and fullness-congestion (27).

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