A new approach to endoscopic DCR

Singh, Amit; Narula, Vineet; Meher, Ravi

doi:10.5935/1808-8694.20120002

Cited by 11 publications

(8 citation statements)

References 18 publications

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“…Singh et al has found orbital fat herniation in 1 patient (0.021%) out of 15 patient underwent for conventional endo-nasal DCR. 10 In our study we did not found any orbital fat herniation or serious complications in our study.…”

Section: Discussionsupporting

confidence: 38%

“…Amit Pal Singh et al found in 15 patient success rate in conventional endonasal DCR has found 83.3%, and intra-operative and post-operative excessive bleeding found in 2 patients (13.2%). 10 In our study we found in conventional endonasal DCR, success rate was 93% and intra-operative and post-operative excessive bleeding was found in 33.3%. In powered endoscopic DCR excessive intra-operative and post-operative bleeding was found in 10% only.…”

Section: Discussionmentioning

confidence: 47%

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A comparative study of conventional endoscopic and powered endoscopic dacryocystorhinostomy in a tertiary hospital of Rohtas district, Bihar, India

Kumar

Alwa

2018

Int J Otorhinolaryngol Head Neck Surg

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Background: Dacryocystorhinostomy (DCR) consists of creating an alternative lacrimal drainage pathway to the nasal cavity to restore permanent drainage of the previously obstructed excreting system. The opening is normally made at the level of lacrimal bone. Introduction of the nasal endoscope, interest in endo-nasal DCR increased. The objective of this study was to compare the result and advantage of both conventional endo-nasal and powered endo-nasal DCR regarding patency rate, patient compliance intra-operative and postoperative complications.Methods: In this comparative study of 60 cases for conventional endo-nasal dacrocystorhinostomy and 100 cases of powered endo-nasal dacrocystorhinostomy was performed in the period of May 2017 to March 2018 in the Department of Ophthalmology in conjunction with Department of Otorhinolaryngology, Narayan medical college and hospital Jamuhar Sasaram, Bihar. Level of blockage was diagnosed by lacrimal syringing and probing, Jones dye test and dacrocystography. Surgery was done under local anesthesia except in children and uncooperative patients where general anesthesia was used. For endo-nasal DCR 0 and 30-degree rigid endoscope was used for surgery. Results: Functional success and symptomatic relief were more in powered DCR. Powered endo-nasal DCR surgery was found to be quicker to perform than conventional endo-nasal DCR surgery. Patient satisfaction was significantly higher in the powered endo-nasal DCR group. Complication of powered endoscopic DCR was low.Conclusions: Powered endo-nasal DCR surgery offers a very attractive alternative to the well-established technique than conventional Endo-nasal DCR for the treatment of primary acquired nasolacrimal duct obstruction with better success rates, shorter surgical time and higher patient satisfaction.

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Section: Discussionsupporting

confidence: 38%

Section: Discussionmentioning

confidence: 47%

A comparative study of conventional endoscopic and powered endoscopic dacryocystorhinostomy in a tertiary hospital of Rohtas district, Bihar, India

Kumar

Alwa

2018

Int J Otorhinolaryngol Head Neck Surg

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“…Surgical ostium and lacrimal fistula can be obstructed because mucosal flaps cannot be created in laser DCR. Recently, surgeons have tried methods such as the use of low energy lasers [ 10 , 12 ], early cleaning of the surgical ostium [ 17 ], surgical ostium mitomycin C (MMC) application [ 15 , 18 ], and laser-assisted dacryocystorhinostomy with endonasal augmentation with punch [ 9 , 19 , 20 ] to decrease fibrous scar formation. Along with photothermal damage caused by the laser, increased fibroblastic activity in the nasal mucosa [ 21 ], scar formation and narrowing in the ostium can be observed.…”

Section: Discussionmentioning

confidence: 99%

Comparison of outcomes of conventional transcanalicular laser dacryocystorhinostomy and modified transcanalicular laser dacryocystorhinostomy

Nacaroğlu

Öğreden²,

Yilmaz

et al. 2018

wiitm

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IntroductionTranscanalicular laser DCR (TL-DCR) approaches have been developed for the formation of a fistula between the nasal cavity and the lacrimal sac to ensure the continuity of the lacrimal drainage system over the years. However, the success rate of TL-DCR has varied widely.AimTo evaluate and compare the success rates of conventional transcanalicular multidiode laser dacryocystorhinostomy and modified transcanalicular multidiode laser dacryocystorhinostomy.Material and methodsNinety-one eyes of 91 adult patients admitted with epiphora and diagnosed with chronic dacryocystitis were included in the study. The participants were divided into two groups. Group 1 consisted of 55 patients who were treated with conventional transcanalicular laser dacryocystorhinostomy. Group 2 consisted of 36 patients to whom the same surgical procedure was applied with the difference of nasal mucosa excision prior to laser osteotomy. The groups’ intraoperative surgical ostium size, perioperative and postoperative complications, operative times and success rates were compared.ResultsThe mean follow-up periods for each group were 8.88 ±2.99 months and 10.28 ±4.47 months, respectively (p = 0.077). Intraoperative mean surgical ostium sizes were 31.85 ±14.98 mm2 and 42.25 ±18.09 mm2, respectively (p = 0.004). The mean operation time in group 1 was significantly shorter compared to group 2 (18.55 ±4.05 min and 24.44 ±3.18 min, respectively, p = 0.0001). The overall success rate was 65.45% in group 1 and 75.00% in group 2 (p = 0.335).ConclusionsAlthough the surgical ostium area was significantly greater in group 2, there was no significant difference in surgical success and patient satisfaction rates between the two groups.

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“…EDSR ameliyatlarında nazal mukozanın insizyonu için koter kullanımı kanamayı azaltarak cerrahi sahanın daha net görülmesine ve kanama kontrolüne yardımcı olarak sineşi gibi olası komplikasyonları azaltıp işlem süresini kısalmasına yardımcı olabilir 13 . Bunun yanında, Roh ve ark.…”

Section: Discussionunclassified

Endoscopic dacryocystorhinostomy: Comparison of the effectiveness of using sickle knife-micro osteotome and monopolar cautery-Kerrison punch

Yaslikaya¹

2016

MMJ

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A new approach to endoscopic DCR

Abstract: By using cautery, cold instrumentation and laser at different steps of endoscopic DCR we were able to achieve a success rate of around 94% with this composite technique as compared to 83.3% in conventional endoscopic DCR surgery.

Cited by 11 publications

References 18 publications

A comparative study of conventional endoscopic and powered endoscopic dacryocystorhinostomy in a tertiary hospital of Rohtas district, Bihar, India

A comparative study of conventional endoscopic and powered endoscopic dacryocystorhinostomy in a tertiary hospital of Rohtas district, Bihar, India

Comparison of outcomes of conventional transcanalicular laser dacryocystorhinostomy and modified transcanalicular laser dacryocystorhinostomy

Endoscopic dacryocystorhinostomy: Comparison of the effectiveness of using sickle knife-micro osteotome and monopolar cautery-Kerrison punch

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