Comparison of external and endonasal dacryocystorhinostomy

Feretis, Michael; Newton, J R; Ram, Babu; Green, F

doi:10.1017/s0022215108002685

Cited by 34 publications

(31 citation statements)

References 13 publications

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“…The GBI has been used in a wide variety of ORL procedures, including rhinoplasty, 17 acoustic neuroma surgery, 18 endoscopic sinus surgery, 12 and EE-DCR. 1 Ho et al 19 used the GBI questionnaire in a prospective study of 55 patients undergoing EE-DCR. The patients were reviewed at 6 months by a consultant ophthalmologist and graded as a success if the symptoms were either cured or better.…”

Section: Discussionmentioning

confidence: 99%

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Patient satisfaction following endoscopic endonasal dacryocystorhinostomy: a quality of life study

Jutley

Karim

Joharatnam

et al. 2013

Eye

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Purpose To assess the subjective success and quality of life of adult patients post endoscopic endonasal dacryocystorhinostomy (EE-DCR) for acquired nasolacrimal duct obstruction. Design Retrospective, questionnaire study performed at least 6 months post EE-DCR. Participants Hundred and ten of the 282 consecutive patients who underwent EE-DCR. Methods A standardised questionnaire (Glasgow Benefit Inventory, GBI) was used to analyse the quality of life. The questionnaire examines four parameters, providing total, subscale, social, and physical scores. Main outcome measures We aimed to assess patient experience following EE-DCR surgery. Total GBI scores range from À 100 to þ 100, the former reflecting maximal negative benefit and corresponding to subjective worsening of tearing and impact on quality of life. Any positive score reflects a satisfactory surgical outcome and þ 100 represents maximal positive benefit. A score of zero is no perceived benefit. Results The average age was 62 years, 63% were female. In three of the parameters measured, there was a subjective improvement post surgery: subscale score 22.16 (95% CI: 15.23-29.09), total score 15.04 (95% CI: 9.74-20.35), and social support score 4.67 (95% CI: 0.93-8.42). Physical health scored À 4.47 (95% CI: À 10.25 to 1.32). Secondary analyses demonstrate no statistical significance with respect to outcome whether a trainee or consultant performed the procedure. Younger patients (under split median of 63.5) had a better total score 19.04 (95% CI: 11.35-27.74) than those older than 63.5 years (11.04,

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Section: Discussionmentioning

confidence: 99%

“…1,2 Tearing is socially embarrassing as it mimics the appearance of persistent crying. An important cause of epiphora is narrowing or occlusion of the nasolacrimal duct.…”

Section: Introductionmentioning

confidence: 99%

Patient satisfaction following endoscopic endonasal dacryocystorhinostomy: a quality of life study

Jutley

Karim

Joharatnam

et al. 2013

Eye

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“…[10][11][12][13][14] ED DCR a good option for the treatment of primary nasolacrimal duct obstruction but it is also considered an acceptable procedure for the treatment of failure of EX DCR. 15 The advantages of ED DCR with respect to EX DCR include less interference on the lacrimal pump mechanism and the possibility to treat sino-nasal disorders and anatomical abnormalities in the same operation in the present series, we performed 14 ancillary procedures (5 septoplasty, 7 middle turbinoplasty, and 2 middle meatal antrostomies) that would not have been possible if an EX DCR had been performed.…”

Section: Discussionmentioning

confidence: 99%

Endonasal dacryocystorhinostomy without stents: our experience

Raga

Waghre

2017

Int J Otorhinolaryngol Head Neck Surg

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Background: Dacryocystorhinostomy (DCR) for the treatment of nasolacrimal duct obstruction. The aims of the study were to assess the patency rate of endoscopic (ED DCR) using a technique similar to that described by McDonogh and Meiring but without the use of nasolacrimal silicone stents. Methods: Endonasal dacryocysto-rhinostomies (ED DCRs) were performed without the use of silicone stents in 46 patients (20 male, 26 female). These patients were followed up for an average of eight months. Results: The procedure was successful in 86.95% of cases as measured by patient’s relief of symptoms and endoscopic visualization of a middle meatal ostium draining the lacrimal sac. Conclusions: In our study ED DCR without stents had less complications and also a success rate of 86.95% achieved when compared with DCR with stents.

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“…19 Some investigators define success by observation of fluorescein in the nose or ability to irrigate the lacrimal system, while others use questionnaires, both previously validated ones, such as the Glasgow benefit inventory questionnaire, and those created by researchers to ascertain patient symptoms. [20][21][22] This lack of a universal definition of success makes evaluation and application of the many DCR study results challenging. As the goal of DCR is to improve patient quality of life and decrease recurrent infections, in our study, success was defined by symptomatology, as delineated by rates of redeveloping tearing or dacryocystitis.…”

Section: Discussionmentioning

confidence: 99%