Endoscopic intranasal findings in unilateral primary acquired nasolacrimal duct obstruction

Singh, Swati; Alam, Mohammad Shahid; Ali, Mohammad Javed; Naik, Milind N.

doi:10.1016/j.sjopt.2017.05.013

Cited by 13 publications

(4 citation statements)

References 16 publications

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“…The indication for septoplasty is chronic nasal airway obstruction. Interestingly DNS is more common among patients with primary acquired NLDO (60% vs. 36% in a control group [11]), and it corresponds in laterality to the side of the obstruction in about 90% of the cases [11,12]. The reported rate of concomitant endoDCR and septoplasty for DNS is considerable, and ranges from 11.9 to 57%.…”

Section: Discussionmentioning

confidence: 93%

No impact of nasal septoplasty on the outcome of endoscopic dacryocystorhinostomy

Koval

Zloto

Yakirevitch

et al. 2019

Eye

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Objective To compare the outcomes of combined endoscopic dacryocystorhinostomy (endoDCR) with nasal septoplasty for deviation of the nasal septum to endoDCR alone in cases of nasolacrimal duct obstruction (NLDO). Methods A retrospective cohort study that included 107 consecutive patients with NLDO, who underwent endoDCR with or without concomitant nasal septoplasty in our institution between October 2009 and October 2017. Results A total of 117 operations were performed (107 patients, 80.4% females; mean age ± SD 51.1 ± 19.5 years). Twentyfive (21.4%) endoscopic surgeries were combined with septoplasty (the endoDCR + septoplasty group), and 92 (78.6%) comprised endoDCR alone (the endoDCR group). There was no difference in anatomical success and functional success rates between the two groups (P = 0.76 and P = 0.18, respectively). There were no complications attributed to the septoplasty component of the surgical procedure. Conclusion Considerable numbers of patients undergoing endoDCR also require a septoplasty. Combining an additional procedure (septoplasty), that was not performed for its original indication but rather for facilitating the main surgical intervention (endoDCR), yields surgical success and associated complications equivalent to those of endoDCR alone.

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Section: Discussionmentioning

confidence: 93%

No impact of nasal septoplasty on the outcome of endoscopic dacryocystorhinostomy

Koval

Zloto

Yakirevitch

et al. 2019

Eye

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“…The reported rate of concomitant EDCR and septoplasty ranges from 11.9 to 57% [11,[24][25][26][27][28][29][30][31]. Per the literature, 39.7% of our cases were managed with a combined procedure.…”

Section: Discussionmentioning

confidence: 79%

Comparable anatomical and functional success to younger patients in endoscopic dacryocystorhinostomy patients of older age

Erkan¹,

Çikrikci²,

Ağdaş³

2021

Journal of Surgery and Medicine

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“…For example, a relationship was shown between the development of nasolacrimal duct obstruction and deviation of the nasal septum, impaired ventilation of the ethmoid sinuses, presence of concha bullosa , and changes in the ostiomeatal complex. 9 10 11 However, the state of the mucous membrane of the nasal cavity and its sinuses has not been studied carefully. It seems to us unlikely that several pathological conditions associated with a changed volume of the nasal cavity, in particular, deviation of nasal septum and presence of concha bullosa , can cause and maintain the inflammatory process in nasolacrimal ducts.…”

Section: Discussionmentioning

confidence: 99%

Rhinological Status of Patients with Nasolacrimal Duct Obstruction

Yartsev

Atkova

Rozmanov

et al. 2021

Int Arch Otorhinolaryngol

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Introduction Studying the state of the nasal cavity and its sinuses and the morphometric parameters of the inferior nasal conchae, as well as a comparative analysis of obtained values in patients with primary (PANDO) and secondary acquired nasolacrimal duct obstruction (SALDO), is relevant. Objective To study the rhinological status of patients with PANDO) and SALDO). Methods The present study was based on the results of computed tomography (CT) dacryocystography in patients with PANDO (n = 45) and SALDO due to exposure to radioactive iodine (n = 14). The control group included CT images of paranasal sinuses in patients with no pathology (n = 49). Rhinological status according to the Newman and Lund-Mackay scales and volume of the inferior nasal conchae were assessed. Statistical processing included nonparametric statistics methods; χ2 Pearson test; and the Spearman rank correlation method. Results The difference in values of the Newman and Lund-Mackay scales for the tested groups was significant. A significant difference in scores by the Newman scale was revealed when comparing the results of patients with SALDO and PANDO. Comparing the scores by the Lund-Mackay scale, a significant difference was found between the results of patients with SALDO and PANDO and between the results of patients with PANDO and the control group. Conclusion It was demonstrated that the rhinological status of patients with PANDO was worse than that of patients with SALDO and of subjects in the control group. No connection was found between the volume of the inferior nasal conchae and the development of lacrimal duct obstruction.

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Endoscopic intranasal findings in unilateral primary acquired nasolacrimal duct obstruction

Abstract: Unilateral PANDO has a higher incidence of ipsilaterally deviated nasal septum. This association is significant. Routine nasal endoscopic examination should be performed in cases undergoing dacryocystorhinostomy to better plan a concomitant septoplasty if needed.

Cited by 13 publications

References 16 publications

No impact of nasal septoplasty on the outcome of endoscopic dacryocystorhinostomy

No impact of nasal septoplasty on the outcome of endoscopic dacryocystorhinostomy

Comparable anatomical and functional success to younger patients in endoscopic dacryocystorhinostomy patients of older age

Rhinological Status of Patients with Nasolacrimal Duct Obstruction

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