Comparison of transcanalicular diode laser dacryocystorhinostomy and external dacryocystorhinostomy in patients with primary acquired nasolacrimal duct obstruction

Çömez, Arzu Taşkıran; Karadağ, Onur; Arıkan, Sedat; Gencer, Baran; Kara, Selçuk

doi:10.1002/lsm.22236

Cited by 20 publications

(10 citation statements)

References 31 publications

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“…Secondly, postoperative convalescence is quicker [ 14 , 27 ]. Thirdly, the duration of surgery is lower in laser-assisted DCR, taking only 10–25 min, while external DCR usually takes between 35 and 75 min [ 13 , 16 – 18 , 22 ]. Both procedures usually require general anesthesia, however.…”

Section: Discussionmentioning

confidence: 99%

Transcanalicular laser dacryocystorhinostomy for acquired nasolacrimal duct obstruction: an audit of 104 patients

et al. 2018

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PurposeExternal dacryocystorhinostomy (DCR) is considered as the gold standard in the treatment of acquired nasolacrimal duct obstruction. However, many advances have been made towards the development of modern minimally invasive therapies. These new techniques were proven less harmful to the patients’ skin and medial palpebral structures with their palpebral-canalicular pump mechanism. Options include endonasal and transcanalicular procedures. Here, we report on our 2-year experience with the surgical technique, results and complications of transcanalicular laser-assisted DCR.MethodsThis is a retrospective study. A total of 104 patients with acquired nasolacrimal duct obstruction underwent transcanalicular laser-assisted DCR combined with bicanalicular silicon intubation. We then analyzed intra-/post-operative complications and subjective and objective success rates. The institutional ethics committee ruled that approval was not necessary. The trial was registered with the German Clinical Trials Register (DRKS00012879).ResultsTranscanalicular laser-assisted DCR in combination with bicanalicular silicon intubation could be performed surgically successfully in 101 patients (97%). In three cases (3%) using the superior canalicular approach, positioning of the laser instrument at the anteroinferior rim of the middle turbinate failed. Complications included thermal injury to the canaliculus (one), canalicular infection (two) and silicon tube prolapse (ten). Functional success (resolution of preoperative symptoms) was achieved in 80 cases (77%), functional failure occured in 24 cases with all patients reporting persisting epiphora, 15 reporting failure to irrigate the nasolacrimal duct and 15 requiring secondary external DCR.ConclusionsLaser-assisted DCR shows promising results with few complications. It seems well suited as a second-step procedure after failed recanalization and before external DCR.

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Section: Discussionmentioning

confidence: 99%

Transcanalicular laser dacryocystorhinostomy for acquired nasolacrimal duct obstruction: an audit of 104 patients

et al. 2018

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“…Many studies have compared whether revision endoscopic or external DCR gives better results after failed DCR surgeries [ 18 , 20 ]. Although recent studies report similar success rates in revision endoscopic DCR and rE-DCR, due to less scarring and providing a chance to interfere with endonasal pathologies, endoscopic revision surgeries have been praised [ 19 – 21 ].…”

Section: Discussionmentioning

confidence: 99%

Revision External Dacryocystorhinostomy Results After a Failed Dacryocystorhinostomy Surgery

2016

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ObjectiveTo report revision external dacryocystorhinostomy (rE-DCR) results following failed dacryocystorhinostomy (DCR) surgery.MethodsA retrospective review of patients who underwent rE-DCR between June 2006 and June 2015 at Yıldırım Beyazıt University Ankara Ataturk Training and Research Hospital Department of Ophthalmology. Data were collected on the primary surgery technique and patient demographics.ResultsForty-one rE-DCRs were performed on 40 patients after various failed DCR techniques. Two patients had failed DCR twice, and 38 patients had failed DCR once. Six of these previous failed DCRs were multidiode laser DCR, two of them were endoscopic DCR, and 33 were external dacryocystorhinostomy (E-DCR). In all rE-DCR procedures, silicone tube intubation was performed, and the tube was removed at least 6 months after surgery. We used mitomycin C on 16 patients (40%). At the last examination, six patients still had epiphora (15%), and their nasolacrimal passage was obstructed. Thirty-four patients had no complaints, and their passages were open (85%).ConclusionThe rE-DCR procedure has high success rates for failed DCR surgeries, whichever procedure was performed.

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“…EDSR'de başarı oranlarını arttırmak amacı ile çeşitli yöntemler kullanılmıştır. Yumuşak doku insizyonu için soğuk bı-çak, monopolar koter, lazer ve radyofrekans cihazları-nı, kemik rezeksiyonu için de kemik rongeurlarını, osteotomları, turu, lazerleri, radyofrekans cihazlarını ve ultrasonik kemik aspiratörünü içeren birçok cerrahi teknik tanımlanmıştır [7][8][9][10] . Her tekniğin kendine özgü avantajları ve dezavantajları mevcuttur.…”

Section: Discussionunclassified

Endoscopic dacryocystorhinostomy: Comparison of the effectiveness of using sickle knife-micro osteotome and monopolar cautery-Kerrison punch

Yaslikaya¹

2016

MMJ

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Comparison of transcanalicular diode laser dacryocystorhinostomy and external dacryocystorhinostomy in patients with primary acquired nasolacrimal duct obstruction

Cited by 20 publications

References 31 publications

Transcanalicular laser dacryocystorhinostomy for acquired nasolacrimal duct obstruction: an audit of 104 patients

Transcanalicular laser dacryocystorhinostomy for acquired nasolacrimal duct obstruction: an audit of 104 patients

Revision External Dacryocystorhinostomy Results After a Failed Dacryocystorhinostomy Surgery

Endoscopic dacryocystorhinostomy: Comparison of the effectiveness of using sickle knife-micro osteotome and monopolar cautery-Kerrison punch

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