An epidemiological study on patients undergoing dacryocystorhinostomy

Duggal, Prahlad; Chakravorty, S.; Azad, Ramesh K.; Mohan, C. Raja

doi:10.1007/bf03049589

Cited by 12 publications

(18 citation statements)

References 8 publications

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“…The incidence of the dacryocystitis was more in the females than the males in our study, the male to female sex ratio being 1:3.5. The result of our study for sex distribution was in concurrence with the study of Duggal P et al [15] and Wadgonkar SP et al [16] . The reason for affecting the females more commonly is probably due to hormonal changes that cause generalised de-epithialisation in the body including lacrimal sac and duct.…”

Section: Discussionsupporting

confidence: 92%

“…In our study the incidence of the dacryocystitis was more in the rural population as compared to the urban population. The result was in concurrence with the study of Duggal P et al [15] . In our study the post operative patency of the rhinostomy stoma was better in the group of the patients receiving application of the Mitomycin-C at the time of the surgery.…”

Section: Discussionsupporting

confidence: 92%

“…The reason for increased incidence in this age group has been suggested due to menstrual and hormonal fluctuations and heightened immune status at this age contributing to the disease process as suggested by Roussos J and Bouzas A. [14] The age distribution of the patients in our study was in concurrence to the study of Duggal P et al [15] , who also found increased incidence of dacryocystitis in fourth and fifth decade of life. The incidence of the dacryocystitis was more in the females than the males in our study, the male to female sex ratio being 1:3.5.…”

Section: Discussionsupporting

confidence: 89%

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Comparative Study of Effect of Mitomycin-C and Merocel Packing on Ostial Patency in Primary Endoscopic Dacryocystorhinostomy

Ahmed¹,

Sayeed²,

Hasan³

2016

AIMDR

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Background: To compare the post operative ostial patency at the rhinostomy site in the patients undergoing the primary endoscopic dacryocystorhinostomy, using Mitomycin-C application and Merocel packing. Methods: The patients visiting the Otorhinolaryngology out patients department at the tertiary referral hospital were included in this study. The study was prospective in nature and comprised of 50 patients suffering from primary dacryocystitis. Endonasal endoscopic dacryocystorhinostomy was done in the patients suffering from the chronic dacryocystitis with postsaccular obstruction of lacrimal system. The patients were divided in two equal groups containing 25 patients in each group. In first group (Group-A) Mitomycin-C (0.5 mg/ml for 15 min) was locally applied at the rhinostomy site and nasal cavity was packed with bactigras after the surgery, whereas in the second group, nasal cavity was packed with Merocel after reposition of the flap without application of any drug. Follow up was done every week in the first month, then monthly till the six months after the surgery. The post operative results were compared in terms of ostial patency at the rhinostomy site at one month, three months and six months of follow up. The surgical technique used remained same throughout the period of study. Results: The post operative ostial patency of rhinostomy stoma was better in the group of the patients undergoing application of Mytomycin-C at the rhinostomy site as compared to the packing of the nasal cavity with Merocel. The difference between both the groups was statistically significant. The rhinostomy created was free from synachiae and granulation tissue formation on follow up examination in the group of the patients having application of Mitomycin-C at the time of surgery. Ultimately the ostial patency was better in the patients having application of Mitomycin-C. Conclusion: Mitomycin-C has statistically significant beneficial effect in the maintenance of ostial patency after primary endonasal endoscopic dacryocystorhinostomy as compared to the merocel packing alone after the surgery.

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Section: Discussionsupporting

confidence: 92%

Section: Discussionsupporting

confidence: 92%

Section: Discussionsupporting

confidence: 89%

See 1 more Smart Citation

Comparative Study of Effect of Mitomycin-C and Merocel Packing on Ostial Patency in Primary Endoscopic Dacryocystorhinostomy

Ahmed¹,

Sayeed²,

Hasan³

2016

AIMDR

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“…In the present study, out of the 305 patients, 58.69% were above the age of 40 years with maximum number (n=78) in the age group of 41-50 years as shown in Table 1. Prahlad Duggal in his study showed out of 74 patients 51.69% were above the age of 40 years and 87.8% were females [9]. In a study conducted by Badhu et.al in Nepal showed out of 662 patients, 67.6% were females.…”

Section: Discussionmentioning

confidence: 87%

Ablution exercise – may prevent dacryocystitis

Pandey¹,

Ranjan²,

Gupta³

et al. 2019

Trop J Ophthalmol Otolaryngol

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Background: Dacryocystitis is an infection and inflammation of the lacrimal sac and most common cause of ocular morbidity in India. It's accounting for 87.1% of epiphora and causes social discomfort due to continuous watering from the eyes. It is more common in India as being tropical country. It has higher incidence among lower socioeconomic status. Hygiene plays an important role in its aetiology. Objective: This study was aimed to survey the demographic characteristics of patients received external dacryocystorhinostomy (DCR) surgery to correlate with religious aspect of the patients. Material & Methods: The present study is a retrospective study conducted at Ophthalmology Department from the hospital records of patients who underwent external DCR for epiphora from January 2013 to December 2017. Results: Out of 305 cases underwent DCR (n=305), maximum (n=179, 58.69%) were above the age of 40 years out of which maximum were in age group of 41-50 years (n=78, 24.57%), majority of them were females 70.49% (n=215) with males being only 29.51% (n=90). Out of 305 cases majority were Hindus (n=236, 77.38%) with Muslims being only 14.43%(n=44) while 8.19% included Christians, Sikhs, Jains and other religions. Conclusion: Overall finding showed in comparisons of men with the females of middle age and above and Muslims despite contributing to major population had less rate of DCR surgery than Hindus. This led to our view that some practices in Muslims might be preventing dacryocystitis in Muslims where ablution exercise might be one of them.

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“…[2] NC obstruction is caused by many congenital and/or acquired etiological factors Among them, acute and chronic inflammation, trauma and congenital malformations are the most frequently seen etiological factors. [3,4] Dacryocystorhinostomy (DCR) is a surgical procedure used for the treatment of NC obstruction. DCR creates a fistula between lacrimal sac and nasal cavity to ensure lacrimal flow.…”

mentioning

confidence: 99%