Comparison of balloon dacryocystorhinostomy with conventional endonasal endoscopic dacryocystorhinostomy for relief of acquired distal nasolacrimal drainage obstruction and its impact on quality of life: A prospective, randomized, controlled study

Abstract

The efficacy, safety and quality of life of balloon dacryocystorhinostomy and conventional endoscopic dacryocystorhinostomy were comparable. In addition, balloon dacryocystorhinostomy had significantly shorter operative time and lesser post-op pain.

Long-term outcomes of revision endoscopic dacryocystorhinostomy aided by 4-mm coronary balloon catheter dacryoplasty

“…The use of balloon dacryoplasty for primary DCRs has demonstrated the techniques to be simple, less invasive, minimal manipulation, can be performed under local anesthesia with shorter operating time, less postoperative pain and better safety profile. [ 4 5 ] However, such data on revision endoscopic DCRs is limited to a single study, where the authors used traditional 3 mm lacrimal balloon catheter for revising their internal ostium stenosis following a routine endoscopic DCR. They defined internal ostium stenosis as tiny DCR ostium on nasal endoscopy in symptomatic patients along with resistance to flow of fluid on irrigation and minimal dye passage through the ostium.…”

“…[ 1 ] Primary balloon-assisted dacryocystorhinostomy has been described utilizing the 9-mm balloon (no longer manufactured) or traditional 3 mm and 5 mm lacrimal balloon catheters. [ 2 3 4 5 ] However, the same is not true for revision endoscopic DCRs (RevEnDCR), where only a single study has looked at the outcomes with a 3 mm lacrimal balloon catheter in patients with internal ostium stenosis following an endoscopic DCR. [ 6 ] The use of balloon dacryoplasty in near total ostium cicatrization with or without internal common opening granulomas has not been studied before.…”

A case of endonasal balloon‐assisted dacryoplasty after failure of endonasal dacryocystorhinostomy

“…Lastly, the reduced operating time makes DCP a feasible procedure in patients who cannot tolerate prolonged general anesthesia. Considering transcanalicular and endonasal DCP, the latter may prevent potential canalicular damage by avoiding manipulation of the proximal lacrimal drainage system, leading to a safer procedure 16 …”

“…The aim of this procedure was to enlarge the site of the stenotic lacrimal tract, which is typically located in proximity to the neorhinostomy 15 . Since a transcanalicular approach can cause damage to the canalicular system, 16 endoscopic endonasal DCP has been considered as an alternative approach in revision cases with the aim of restoring physiological lacrimal drainage. In fact, such DCP technical variation allows the enlargement of the neorhinostomy passing through the nasal neorhinostomy avoiding any potential lesion of the canalicular system.…”

Balloon dacryoplasty in the treatment of recurrent dacryocystitis

“…A.K. Mishra et al [40] показали, что эффективность эндоназального баллона диаметром 9 мм при ДЦР (как первичной, так и повторной) сопоставимы с традиционными вмешательствами. Так, через 12 месяцев после первичной ЭЭДЦР эффективность составила 88,6 % случаев, а при использовании баллона -90,7 %.…”