Endoscopic Dacryocystorhinostomy in Acute Dacryocystitis: A Multicenter Case Series

Madge, Simon N.; Chan, WengOnn; Malhotra, Raman; Ghabrial, Raf; Floreani, Stephen; Wormald, Peter John; Tsirbas, Angelo; Selva, Dinesh

doi:10.3109/01676830.2010.535952

Cited by 51 publications

(74 citation statements)

References 23 publications

(46 reference statements)

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“…2 However, the total health costs of our approach, including hospitalization time and postoperative surveillance, were not assessed, and the costeffectiveness ratio of our protocol should be better defined, possibly in a prospective way.…”

Section: Discussionmentioning

confidence: 99%

Acute Dacryocystitis with Empyema of the Lacrimal Sac: Is Immediate Endoscopic Dacryocystorhinostomy Justified?

Lombardi

Mattavelli

Accorona

et al. 2014

Otolaryngol.--head neck surg.

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Objectives. To evaluate the efficacy of endoscopic dacryocystorhinostomy (Endo-DCR) in the treatment of acute dacryocystitis with lacrimal sac empyema (ADLSE).Design. Case series with chart review. Setting. Academic tertiary center.Patients. The study included 26 consecutive patients who underwent Endo-DCR for ADLSE between August 2005 and December 2013.Main Outcome Measures. The success of the procedure was defined as complete complaint relief and DCR patency. Data on the time from referral to surgery, postoperative complications, and revision surgery are also reported.Results. The present patient series included 4 males (15.4%) and 22 females (84.6%) (mean age, 66 years). The mean time between referral and surgery was 0.88 days and the mean follow-up time was 29 months. All patients showed immediate relief from symptoms, with no ADLSE recurrences. Complete success was achieved in 25 (96.2%) cases; the only failure was in a patient who had previously undergone radioiodine treatment. In this case, revision Endo-DCR was not successful. The only perioperative complication (3.8%) was epistaxis in a patient who required revision surgery under general anesthesia. The definitive success rate was 96.2% after primary and revision surgery.Conclusions. Endo-DCR enables rapid resolution of ADLSE with a very high success rate. Immediate surgery may reduce the risk of skin fistulization and/or orbital complications. DCR shrinkage and lacrimal obstruction are unlikely with Endo-DCR since the procedure is performed on an enlarged sac. The main advantage of Endo-DCR, compared with external DCR, is the absence of a skin incision in an inflamed and infected field.

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Section: Discussionmentioning

confidence: 99%

Acute Dacryocystitis with Empyema of the Lacrimal Sac: Is Immediate Endoscopic Dacryocystorhinostomy Justified?

Lombardi

Mattavelli

Accorona

et al. 2014

Otolaryngol.--head neck surg.

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“…Some authors have proposed dacryocystorhinostomy, most recently using endoscopic dacryocystorhinostomy, as a direct treatment for acute dacryocystitis. 20 In their multicenter retrospective review of 18 patients with acute dacryocystitis treated via endo-DCR, Madge et al reported a 94.4% success with an average of 12 months' follow-up. It should be noted, though, that all patients received either oral or intravenous antibiotics for an average of 5 days prior to surgery, with 66.7% having documented clinical improvement prior to surgery.…”

Section: Discussionmentioning

confidence: 99%

External dacryocystorhinostomy outcomes in patients with a history of dacryocystitis

et al. 2015

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Purpose-To investigate nonidiopathic causes of external dacryocystorhinostomy (DCR) failure.Methods-The medical records of all patients with acute or chronic dacryocystitis who underwent external dacryocystorhinostomy performed by the senior author over a 5-year period were retrospectively reviewed, with attention to microbiology, pathology, and associated medical and history.Results-A total of 52 lacrimal systems of 49 patients were included, with a minimum follow-up of 2 months (average, 15.5 months). Surgical success was achieved in 42 systems (87%). Of 7 failures, 6 had a condition potentially associated with an increased risk of failure, including MRSA infection, Gram-negative infection, rhinosinusitis, lymphoma, inflammatory bowel disease, and early loss of lacrimal stents.Conclusions-External DCR is a successful procedure for the treatment of nasolacrimal obstruction associated with dacryocystitis. Various factors may affect surgical success, and awareness of these factors may enable better patient counseling and surgical planning.

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“…In the dacryocystorhinostomy, reports suggest that endoscopic approach is more successful with success rates ranging from 82% to 95% as compared to external approach dacryostorhinostomy [7] . Placement of silicone stent intraoperatively through both the canaliculi is having multiple schools of thought-in patient selection, duration of placement of the stent and outcome.…”

Section: Introductionmentioning

confidence: 99%

Endoscopic DCR With and without Silicone Stenting- A Comparision of Outcome

Yadav¹

2017

jmscr

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Endoscopic Dacryocystorhinostomy in Acute Dacryocystitis: A Multicenter Case Series

Cited by 51 publications

References 23 publications

Acute Dacryocystitis with Empyema of the Lacrimal Sac: Is Immediate Endoscopic Dacryocystorhinostomy Justified?

Acute Dacryocystitis with Empyema of the Lacrimal Sac: Is Immediate Endoscopic Dacryocystorhinostomy Justified?

External dacryocystorhinostomy outcomes in patients with a history of dacryocystitis

Endoscopic DCR With and without Silicone Stenting- A Comparision of Outcome

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