A Simplified Dacryocystorhinostomy

Iliff, Charles E.

doi:10.1001/archopht.1971.00990050588011

Cited by 63 publications

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“…20 It can occur in all age group, more commonly in fifth to seventh decade of life, affecting women three times more than men. 11,21,22 Medical treatment with topical antibiotic administration and massage over lacrimal sac area is helpful for most cases of congenital dacryocystitis within first 12 months of age. 23 Small number of the patients with catarrhal type of chronic dacryocystitis respond to broad spectrum antibiotics both locally and systemically.…”

Section: Discussionmentioning

confidence: 99%

A comparative study on intraoperative mitomycin-c augmented external dacryocystorhinostomy with conventional dacryocystorhinostomy

Puzari

Kumar

2016

Int J Res Med Sci

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Background: Dacryocystorhinostomy (DCR) is a commonly done surgery performed for management of epiphora due to nasolacrimal duct obstruction. Goal of the procedure is to bypass the obstructed nasolacrimal duct allowing tear drainage into the nasal cavity directly from lacrimal sac by creating an anastomosis between the lacrimal sac and the nasal mucosa via a bony ostium. Common cause of DCR failure are attributed as an end effect of fibrous tissue growth, scarring and granulation tissue formation which obstructs the new drainage channel. Mitomycin c is an antiproliferative agent and may enhance the result of DCR by inhibiting fibrous tissue proliferation. Here we aim to evaluate the results of intraoperative mitomycin C application in dacryocystorhinostomy surgery compared with the result of conventional DCR. Methods: A prospective randomized comparative study of one year duration was done in the Department of Ophthalmology, Assam Medical College and Hospital, Dibrugarh, Assam, India. A total of 60 patients of acquired nasolacrimal duct obstruction were enrolled and divided randomly into two groups, 30 nos of patients in each group. One group had undergone conventional external DCR operation and other group was treated with DCR surgery with intraoperative mitomycin C application at the anastomotic flap and osteotomy site. Patients were reviewed after 1week, 1month, 3month and 6months postoperatively. The results of DCR surgeries were evaluated by observation of different parameters such as height of tear meniscus and patency of the nasolacrimal passage. Results: In our study we have observed that majority of cases were in 21-30 years age group with female preponderance (male vs female; 35% vs 75%). Chronic dacryocystitis was seen in majority of cases (70%) followed by mucocele (26.67%) and lacrimal fistula (3.33%). Major difficulties encountered during surgery and postoperatively were almost identical in both the groups. There was no case of abnormal mucosal bleeding, mucosal necrosis, delayed wound healing in patients which underwent DCR with mitomycin C use. Post-operative care and follow up were done identically in both the groups. It was seen that a total success rate of 80% was achieved in conventional group where as 96.67% success was achieved in MMC group at the end of 6 months. In case of scar prone conditions like lacrimal fistula mitomycin C use has shown to be efficacious in maintaining patency of the system after surgery. Conclusions: Distinctly higher success rate have been achieved in patients undergoing DCR with intra-operative MMC as compared to patients undergoing conventional DCR. Use of intraoperative mitomycin C can be considered safe and simple but very effective modification of conventional external DCR.

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Section: Discussionmentioning

confidence: 99%

A comparative study on intraoperative mitomycin-c augmented external dacryocystorhinostomy with conventional dacryocystorhinostomy

Puzari

Kumar

2016

Int J Res Med Sci

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“…Although successful external DCR in the setting of AD has been described (Iliff, 1971) and is the treatment of choice for some surgeons, there is very sparse literature on the subject and some consider it to be contraindicated because of the potential risks of local infection, potential exacerbation of inflammation (Lee and Woog, 2001) and also the enhanced surgical difficulties encountered in dissection through inflamed tissues.…”

Section: Discussionmentioning

confidence: 99%

Endoscopic Dacryocystorhinostomy in Acute Dacryocystitis: A Multicenter Case Series

Madge¹,

Chan²,

Malhotra³

et al. 2011

Orbit

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“…Diğer bir çalışmada pediatrik DSR cerrahi başarı için, ön ve arka fleplerin dikkatlice sütürasyonun zorunlu olmadığı rapor edilmiştir (6). Pediatrik DSR'de uygulanan diğer bir teknik olan Iliff tekniğinde de sadece ön fleplerin sütüre edilmesinin yeterli olduğu bildirilmiştir (12). Bizim çalışmamızda da sadece ön flepler oluşturuldu.…”

Section: Gereç Ve Yöntemler Bulgularunclassified

The Results of Pediatric External Dacryocystorhinostomy

Gündüz¹,

Demirel²,

Özsoy³

et al. 2012

J Turgut Ozal Med Cent

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ÖzetAmaç: Pediatrik yaş grubunda distal nazolakrimal kanal tıkanıklığı nedeni ile yaptığımız eksternal dakriyosistorinostomi (DSR) ameliyat sonuçlarımızın sunulması. Gereç ve Yöntem: Nazolakrimal kanal tıkanıklığı tanısı ile eksternal DSR ameliyatı olan 6 olgu (3 kız, 3 erkek) çalışmaya alındı. Vakaların ortalama yaşları 9.0 (4-14) yıl idi. Olguların dışarıdan gözlemle kese lojları kabarıktı. Olguların lipiodollü dakriyosistografilerinde geniş hidrops kese görünümleri izlenmekteydi. Hastalara U-Flep DSR uygulandı. Nazal ve lakrimal kese mukozalarında sadece ön flepler oluşturuldu. Sulanma şikâyetinin geçmesi ve pasajın irrigasyonla açık olması başarı olarak kabul edildi. Bulgular: Olgular postoperatif 1.hafta, 1., 3., 6.ve 12. ayda kontrollere çağrıldı. Takip süreleri en az 6, en fazla 24 aydı (ortalama 13.8 ay). Yapılan kontrollerde tüm olguların lavaj ile kanalın açık olduğu ve preoperatif tüm şikâyetlerinin kaybolduğu saptandı. Böylece olgularımızın 6'sında da (%100) cerrahi başarıya ulaşıldığı tespit edildi. Hiçbir olgularımızda intraoperatif veya postoperatif ciddi bir komplikasyon gelişmedi. Sonuç: Çalışmamız sonucunda pediatrik yaş grubunda hidrops keseli olgular için eksternal DSR'nin tercih edilebilecek başarılı bir cerrahi yöntem olduğu kanaatine vardık. Anahtar Kelimeler: Pediatrik Nazolakrimal Kanal Tıkanıklığı; Eksternal Dakriyosistorinostomi. The Results of Pediatric External DacryocystorhinostomyAbstract Aim: To present our results of external dacryocystorhinostomy (DCR) operations in pediatric patients with distal nasolacrimal duct obstruction. Material and Methods: This study included 6 pediatric patients (3 boys, 3 girls) with distal nasolacrimal duct obstruction underwent external DCR. The median age was 9.0 years (range 4-14). All patients had a large hydrops lacrimal sac in lipiodol dacryocysrography. The patients underwent U-flap DCR and only anterior mucosal flaps were formed. Surgical success was accepted as the absence of epiphora and open lacrimal passage with irrigation. Results: The patients were examined at 1st week and 1, 3, 6. and 12 months. The cases were followed for a minimum of 6 months and a maximum of 24 months (mean follow up was 13.8 months). All nasolacrimal ducts were open with irrigation at all control. Surgical success was 100% (6/6). No severe intraoperative or postoperative complication occurred in any case. Conclusion: DCR was concluded as a successful surgical procedure for the pediatric age group in appropriate cases.

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A Simplified Dacryocystorhinostomy

Cited by 63 publications

References 0 publications

A comparative study on intraoperative mitomycin-c augmented external dacryocystorhinostomy with conventional dacryocystorhinostomy

A comparative study on intraoperative mitomycin-c augmented external dacryocystorhinostomy with conventional dacryocystorhinostomy

Endoscopic Dacryocystorhinostomy in Acute Dacryocystitis: A Multicenter Case Series

The Results of Pediatric External Dacryocystorhinostomy

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