A study of 272 cases of endoscopic dacryocystorhinostomy

Vishwakarma, Rajesh; Singh, Neeraj; Ghosh, Ratnadeep

doi:10.1007/bf02974382

Cited by 20 publications

(4 citation statements)

References 4 publications

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“…In present study, 63.7% of the cases presented with disease on right side. This does not correlate with previous studies [14,18] . However Nichlani et al, found right eye involvement more than left eye, which corroborates with our study [19] .…”

Section: Discussioncontrasting

confidence: 99%

Comparative study between external and endoscopic Dacryocystorhinostomy

Pradhan,

Solanki,

Urdhwareshe

et al. 2024

Int. J. Appl. Res.

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Background: Dacryocystorhinostomy (DCR) consists of creating a lacrimal drainage pathway to the nasal cavity to restore permanent drainage of previously obstructed excreting system. Materials and Methods: Study was conducted for 18 months duration in a teaching hospital with 50 cases of endoscopic and 50 cases of external DCR with a follow-up of minimum 9 months. Data regarding surgical outcome and complications were analysed and compared using χ 2 test. Results: Total 100 patients were included in the study with six having bilateral involvement, out of which 10 were male and 90 were female. The mean age for endoscopic and external DCR was 33.6 years and 46.0 years, respectively. Right eye (69%) was involved more commonly than left eye (31%). Epiphora was the commonest presenting symptom (81%). Mean duration of surgery was much lengthier in external (mean 90 minutes) than endoscopic (mean 50 minutes) DCR. Most common complication included excessive intraoperative bleeding which was seen in 10(20%) and five cases (10%) of external and endoscopic DCR respectively. Primary surgical success rate was 89% and 97% for endoscopic and external DCR, respectively (P = 0.046). Among the endoscopic DCR group, four patients underwent revision surgery giving a total successful surgical outcome of 97% at third month of follow-up. In endoscopic DCR group, out of 50 cases, 45 cases (90%) demonstrated primary surgical success, which is defined as decreased or absent epiphora and adequately patent lacrimal system in 1 st month of follow-up period. Forty eight (96%) out of 50. cases had patent lacrimal passage and one presented with functional block after 1 month in external DCR group However, at 6 month of followup, success rate was 90% for endoscopic DCR and 94% for external DCR. The difference was not statistically significant (P = 0.609). Conclusion:External DCR is a simple, moderately invasive, day care procedure and had comparable result with endoscopic DCR.

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Section: Discussioncontrasting

confidence: 99%

Comparative study between external and endoscopic Dacryocystorhinostomy

Pradhan,

Solanki,

Urdhwareshe

et al. 2024

Int. J. Appl. Res.

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“…Vishwakarma et al performed a prospective study on 272 patients to assess the effect of silicone stenting on the outcome of endoscopic dacryocystorhinostomy and found a higher success rate using a silicone stent. 18,19 However, several studies have found no significant difference in surgical success between DCR done with stents and those done without. 18,[20][21][22] Even with the evidence that stent-free surgery results in good outcomes in DCR surgery, most of the performers of EE-DCR prefer placing a stent.…”

Section: Discussionmentioning

confidence: 99%

DCR preferences among oculoplastic surgeons: Barriers and facilitators to adoption of endoscopic DCR

Alturkistany

Allen

Aloqab³

et al. 2023

European Journal of Ophthalmology

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Objective To determine the preference for dacryocystorhinostomy (DCR), patient selection criteria for endoscopic DCR, endoscopic DCR technique, and barriers to adoption of endoscopic DCR. Method Cross-sectional study conducted from May-December 2021. A survey was sent to oculoplastic surgeons. Questions on demographic characteristics, type of clinical practice, technique preferences, barriers and facilitators to adoption of endoscopic DCR were included. Results 245 participants completed the survey. Most respondents were located at an urban site (84%), were in private practice (66%), and had been in practice for more than 10 years (58.9%). Sixty one percent perform external DCR as the first line procedure for treating primary nasolacrimal duct obstruction. The most common factor influencing the surgeon's decision to perform endoscopic DCR was the patient's request (37%) followed by endonasal exam (32%). The most common barrier for not performing endoscopic DCR was the lack of experience and lack of training during fellowship (42%). The most worrisome complication for most respondents was failure of the procedure (48%), followed by bleeding (30.3%). Eighty one percent believe surgical mentorship and supervision during initial cases would facilitate endoscopic DCR learning. Conclusions External Dacryocystorhinostomy is the preferred technique for treating primary acquired nasolacrimal duct obstruction. Learning endoscopic DCR early during fellowship training and high surgical volume to improve the learning curve dramatically impacts the adoption of the procedure.

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“…Furthermore, Kakkar (11) had similar results and did not find a significant difference in surgical success between DCR done with and without stents. In a prospective analysis of 272 patients, Vishwakarma et al (17) found that patients with DCR who had silicon stents had a greater success rate. However, in 1989, Allen and Berlin (18) found that silicone intubation during DCR was associated with a statistically significant increase in the primary DCR failure rate.…”

Section: Discussionmentioning

confidence: 99%

Comparative Study: Endoscopic Dacrocystorhinostomy With and Without Stent

Fatah

2023

JSMC

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BackgroundDacryocystorhinostomy (DCR) is a commonly performed operation in which a fistulous tract is created between the lacrimal sac and the nasal cavity. ObjectiveTo evaluate the necessity for silicone tube insertion following endonasal endoscopic dacryocystorhinostomy (EDCR). Patient and MethodsA prospective interventional comparative study was carried out in the Center of Otorhinolaryngology, Head and Neck Surgery/Al Sulaymaniyah Teaching Hospital from March 2021 to April 2022. Twenty-two patients (25 eyes) with epiphora were included; an ophthalmologist referred them after diagnosing the cause and site of obstruction of the nasolacrimal duct, 86.4 % of which were female and remaining 13.6 % were male, with ages ranging from 15 to 61. They were randomly assigned to two groups: GroupA 11 patients (12 eyes) underwent EDCR with silicone stent, while GroupB 11 patients (13 eyes) had EDCR without stent. The patients were evaluated in terms of symptom relief and neo-ostium patency. ResultsIn the current study, the success rate was (100%) for both groups, with no failures. Additionally, a stent has been associated with granulation tissue formation and patient discomfort. There were no statistically significant differences between the two groups. ConclusionRoutine nasolacrimal intubation in DCR is unnecessary due to the additional cost and associated complications. Good exposure and marsupialization of the lacrimal sac and regular follow-up are required for a better postoperative outcome and the avoidance of complications.

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A study of 272 cases of endoscopic dacryocystorhinostomy

Cited by 20 publications

References 4 publications

Comparative study between external and endoscopic Dacryocystorhinostomy

Comparative study between external and endoscopic Dacryocystorhinostomy

DCR preferences among oculoplastic surgeons: Barriers and facilitators to adoption of endoscopic DCR

Comparative Study: Endoscopic Dacrocystorhinostomy With and Without Stent

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