Endoscopic approach in one hundred and seventy‐nine patients of dacryocystorhinostomy

Turan, Meydan; Ersoz, Mehmet Orhan; Ozhan, Mehmet Fatih

doi:10.1111/coa.13209

Cited by 2 publications

(2 citation statements)

References 9 publications

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“…Endoscopic DCR has a wide range of outcomes for patients experiencing epiphora. 9 A large retrospective study by Coumou et al 10 found that 91% of functional cases showed benefit after endoscopic DCR, ranging from minor intermittent tearing to complete resolution. Although various successes have been reported, many studies do not clearly distinguish between anatomic stenosis and purely functional cases, and there are no clear predictors of the expected results for patients undergoing these treatments.…”

Section: Discussionmentioning

confidence: 99%

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Outcomes of Endonasal Dacryocystorhinostomy Performed for Functional Nasolacrimal Obstruction With Delay on Dacryoscintigraphy

Hodgson,

Hussain

2023

Journal of Craniofacial Surgery

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Purpose: To report the demographics and outcomes of endonasal dacryocystorhinostomy (DCR) following dacryoscintigraphy (DSG) performed for a series of patients with functional epiphora. Methods: Case series of endonasal DCR outcomes in patients with symptomatic epiphora with no evidence of lacrimal hypersecretion or lacrimal pump failure, minimal regurgitation noted on syringing, and DSG-confirmed delayed drainage. A successful outcome was defined as 80% subjective improvement or resolution of tearing on the operated side. Patient charts, DSG results, and operative records were examined, and data were collected. Relevant literature was reviewed and discussed. Results: The case series included 15 eyes of 10 patients. The mean age was 61.7 years at the time of surgery. Most cases (n=13) had post-sac obstruction, retention, or delay. One patient had pre and post-sac retention. A total of 12 cases had success after endonasal DCR, and 3 cases had failure. Follow-up for all operated patients was over 6 months. There were no reported complications by the surgeon or patients. Conclusions: Patients with functional epiphora confirmed by DSG seem to have a high success rate after endonasal DCR. In patients with symptomatic epiphora with subjective patency on syringing, the use of DSG in decision-making and outcome prediction may be supported. Further studies, including clinic-based tests, to demonstrate functional obstruction are warranted.

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Section: Discussionmentioning

confidence: 99%

“…Endoscopic DCR has a wide range of outcomes for patients experiencing epiphora 9 . A large retrospective study by Coumou et al 10 found that 91% of functional cases showed benefit after endoscopic DCR, ranging from minor intermittent tearing to complete resolution.…”

Section: Discussionmentioning

confidence: 99%

Outcomes of Endonasal Dacryocystorhinostomy Performed for Functional Nasolacrimal Obstruction With Delay on Dacryoscintigraphy

Hodgson,

Hussain

2023

Journal of Craniofacial Surgery

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Modified Endoscopic Dacryocystorhinostomy Using the Middle Uncinate Process Approach

Yang

Cao²,

Gu³

2020

Journal of Craniofacial Surgery

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Purpose: Endoscopic dacryocystorhinostomy (EDCR) is advantageous in that it avoids facial scar formation, does not damage the medial canthus ligament, and recovers quickly. The main purpose of EDCR is to establish a fistula large enough to completely expose the lacrimal sac and avoid complications. Accurate location of lacrimal sac and complete opening of lacrimal sac are the keys to successful operation. However, due to the individual differences in the size of the lacrimal sac and the anatomical structure of the nasal cavity, it is difficult to determine the location of the lacrimal sac during the operation. Most patients need to place dilatation tubes after operation, which may lead to some defects. To explore the clinical effects of modified dacryocystorhinostomy using nasal endoscopy through the middle uncinate process approach for the treatment of chronic dacryocystitis and nasolacrimal duct obstruction. Methods: Sixty-nine patients (71 eyes) with chronic dacryocystitis and nasolacrimal duct obstruction underwent modified dacryocystorhinostomy using nasal endoscopy. Modified methods included changes in surgical approach, incision of the anterior wall of the lacrimal sac, and treatment of adherent mucosa. Results: In all 71 eyes, no serious complications occurred. The anatomical success rate was 93.0% (66/71) and the symptomatic success rate was 97.2% (69/71). None of the patients underwent conversion to an open method. Conclusion: Modified dacryocystorhinostomy using nasal endoscopy is advantageous in terms of shorter operation time, accurate dacryocystorhinostomy location, less bleeding, relatively simple operation, no requirement for dilation tube insertion, and better effects than conventional dacryocystorhinostomy using nasal endoscopy. Modified dacryocystorhinostomy is a safer and more effective method to treat chronic dacryocystitis-nasolacrimal duct obstruction.

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Endoscopic approach in one hundred and seventy‐nine patients of dacryocystorhinostomy

Cited by 2 publications

References 9 publications

Outcomes of Endonasal Dacryocystorhinostomy Performed for Functional Nasolacrimal Obstruction With Delay on Dacryoscintigraphy

Outcomes of Endonasal Dacryocystorhinostomy Performed for Functional Nasolacrimal Obstruction With Delay on Dacryoscintigraphy

Modified Endoscopic Dacryocystorhinostomy Using the Middle Uncinate Process Approach

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