A Systematic Review of Outcomes after Dacryocystorhinostomy in Adults

Leong, Samuel; MacEwen, C J; White, Paul S.

doi:10.2500/ajra.2010.24.3393

Cited by 149 publications

(146 citation statements)

References 74 publications

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“…The results are in correlation with studies done by previous authors & support their results (24)(25)(26)(27) (28).The striking predilection for females can be explained by the narrower lumen of the bony naso-lacrimal canal. It is also possible that endocrine factors may be playing a role in the aetiology of chronic dacryocystitis.…”

Section: Results: With the Study Done We Get The Following Resultssupporting

confidence: 82%

A Comparision of External and Endoscopic Endonasal Dacryocystorhinostomy in Tertiary Care Hospital of Kumaon Region, Uttarakhand

Titiyal¹,

Sharma²,

Pandey³

et al. 2013

jemds

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ABSTRACT:The objective of present study was to compare the results of endonasal endoscopic dacryocystorhinostomy and external dacryocystorhinostomy. It was a prospective study. Forty two consecutive patients having complaints of epiphora, swelling near medial canthus, angular conjunctival congestion, with naso lacrimal duct obstruction were selected for the study. Selection of type of operation was left to the patient's choice.

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Section: Results: With the Study Done We Get The Following Resultssupporting

confidence: 82%

A Comparision of External and Endoscopic Endonasal Dacryocystorhinostomy in Tertiary Care Hospital of Kumaon Region, Uttarakhand

Titiyal¹,

Sharma²,

Pandey³

et al. 2013

jemds

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“…Canalicular silicone intubation at the end is widely favoured and used to prevent fibrous closure and sealing of the edges of the sac during healing (Yagci et al 1999;Caversaccio & Hausler 2006;Liang & Lane 2013). Studies have shown that the endoscopic DCR success percentages vary widely the last decades between 81% and as high as 97% in experienced hands (Tarbet & Custer 1995;Sprekelsen & Barberan 1996;Hartikainen et al 1998;Woog et al 2001;Durvasula & Gatland 2004;Tsirbas et al 2004;Ben Simon et al 2005;Leong et al 2010;Roithmann et al 2012). The endoscopic DCR has become a well-established technique the last few years, with a safety profile and efficacy equivalent if not better than to the traditional external approach (Hartikainen et al 1998).…”

Section: Introductionmentioning

confidence: 99%

Endoscopic dacryocystorhinostomy: long‐term experience and outcomes

Coumou

Genders

Smid

et al. 2016

Acta Ophthalmologica

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ABSTRACT.Purpose: To report our experience in endoscopic dacryocystorhinostomy in treating nasolacrimal duct obstruction over a 14-year period. Methods: Retrospective case series carried out over a 14-year period from 1999 to 2014. A total of 624 endoscopic dacryocystorhinostomy procedures were performed in 442 patients who were diagnosed with persistent epiphora. Participants: In total, 624 procedures in a total of 442 patients (<18 yo: 36 and >18 yo: 406) were included. Patients' records were assessed for demographics, intra-and postoperative complications, outcome and follow-up. Results: In total, 442 patients underwent an endoscopic dacryocystorhinostomy. There were 342 females (77.3%) and 100 males with a mean age of 50.2 years. All patients presented with epiphora: 33 congenital (7.5%), 357 acquired (80.7%) and 52 functional cases (11.8%). The adult dacryocystorhinostomy (n = 577) had an anatomical success of 90.1%. Children's group (<18 yo) n = 36 with a total of 47 procedures and an anatomical success of 91.5%. Functional cases (all adults -n = 52) showed a 91% benefit after operation. In 624 DCRs, we found a complication rate of 3.2%. Conclusion: Endoscopic dacryocystorhinostomy offers good success rates with a safety profile and efficacy equivalent to the traditional external approach is an effective treatment with good outcome results in adults and children with persistent or functional epiphora.

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“…2 Dacryocystorhinostomy (DCR) is an effective and safe method for the treatment of NLD obstruction. 3 DCR for the treatment of NLD obstruction was first described via an external approach by Toti in 1904. 4 The perceived disadvantages of the external approach DCR include the risk of cutaneous scar and lengthy surgery with significant blood loss.…”

mentioning

confidence: 99%

Long-term results of endonasal dacryocystorhinostomy with and without stenting

Mohamad

Khan

Shakeel

et al. 2013

annals

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INTRODUCTION This study aimed to evaluate the short and long-term results of endoscopic dacryocystorhinostomy (DCR) with and without silicone stenting in chronic dacrocystorhinitis due to postsaccal blockage. METHODS The study involved a case series of consecutive 89 patients (128 eyes) who underwent endoscopic DCR. All patients were operated on by the senior author. The stent group comprised 63 eyes (44 patients), for which the DCR was performed between September 2002 and September 2005. The non-stent group with 65 eyes (45 patients) underwent the DCR between October 2005 and December 2006. The follow-up duration was up to 33 months after surgery. The statistical significance (p-value) was calculated using the chi-squared test. RESULTS The short-term success rate at six months' follow-up was 70% in the stent group and 97% in the non-stent group (p=0.0005) while the long-term success rate at 33 months was only 57% in stent group compared with 89% in the non-stent group (p=0.0003). CONCLUSIONS In this study, the non-stent group showed a higher success rate than the stent group on both short and longterm follow-up. Our study suggests that postoperative stents are not necessary for primary DCR and may be associated with a worse outcome.

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A Systematic Review of Outcomes after Dacryocystorhinostomy in Adults

Cited by 149 publications

References 74 publications

A Comparision of External and Endoscopic Endonasal Dacryocystorhinostomy in Tertiary Care Hospital of Kumaon Region, Uttarakhand

A Comparision of External and Endoscopic Endonasal Dacryocystorhinostomy in Tertiary Care Hospital of Kumaon Region, Uttarakhand

Endoscopic dacryocystorhinostomy: long‐term experience and outcomes

Long-term results of endonasal dacryocystorhinostomy with and without stenting

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