Evaluation of the Cosmetic Significance of External Dacryocystorhinostomy Scars

Sharma, Vidushi; Martin, Peter A.; Benger, Ross; Kourt, Georgina; Danks, Jenny; Deckel, Yael; Hall, Geoffrey

doi:10.1016/j.ajo.2005.04.039

Cited by 54 publications

(45 citation statements)

References 19 publications

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“…3,8 Cosmetically visible scar formation following Ex-DCR was reasonably low in our study (3/55 Ex-DCR; 5.45%, χ2=1.263) as compared to the published reports where visible scar formation ranges from 9-26%, hence this should not become a major issue and lone decisive factor while choosing for particular type of surgery ( Figure 5,6). 19,20 It is now an established fact that, surgical expertise in the field of DCR surgery may dramatically affect the surgical outcome. 21 Both the primary ophthalmic and ENT surgeon in our study are well versed in the nasolacrimal anatomy and in performing high volume DCR surgeries.…”

Section: 12mentioning

confidence: 99%

Comparison of external and endoscopic endonasal dacryocysto-rhinostomy: a hospital based retrospective study

2016

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Section: 12mentioning

confidence: 99%

Comparison of external and endoscopic endonasal dacryocysto-rhinostomy: a hospital based retrospective study

2016

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“…In revision cases especially when the bony ostium is of adequate size or failure is due to fibrosis at the osteotomy site can be also be managed with endoscopic DCR as an alternative to external DCR and are equally successful [13]. However, the disadvantages of endonasal DCR include the high cost of equipment and maintenance, the necessity to use general anesthesia that is preferred by most surgeons, a marked learning curve, difficulties in the treatment of other important causes of DCR failure like canalicular or common canalicular obstruction or sump syndrome [14].…”

Section: Discussionmentioning

confidence: 99%

“…In our study 10 (37%) cases belong to such category (Table 2). Thus the presence of a cosmetic scar should not be the only guiding principle when deciding on the most appropriate route for operation for a particular patient [14]. The main aim of the surgeon while performing external DCR in traumatic dacryocystitis and failed DCR is to bypass the lower lacrimal system and to create a large ostium utilizing the medial wall of the sac and nasal mucosa.…”

Section: Discussionmentioning

confidence: 99%

Management of Traumatic Dacryocystitis and Failed Dacryocystorhinostomy Using Silicone Lacrimal Intubation Set

Rizvi

Sharma

Tripathy

et al. 2011

Indian J Otolaryngol Head Neck Surg

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The aim of this work is to study the management and success rate of traumatic dacryocystitis and failed dacryocystorhinostomy (DCR) using Silicone lacrimal intubation set. A prospective study was conducted at a tertiary eye care hospital, India from February 2006 to January 2008. This study material comprised 50 patients of traumatic dacryocystitis and failed dacryocystorhinostomy. Anterior single flap external dacryocystorhinostomy with Silicon intubation was performed in all the patients. The patients were followed up at weekly intervals for 1 month and thereafter every 2 months for 1 year post operatively. Criteria determining success were based on resolution of epiphora and patency on syringing. In traumatic dacryocystitis, 21(91.3%) cases fulfilled these criteria while 23(85.2%) cases of failed DCR were successful. The overall success rate (88%) was determined with an average follow-up of 1 year. Globally, the technique was effective in 85% of cases. The results were comparable with other similar studies. This study concludes that performing a DCR in traumatic dacryocystitis and failed DCR taking into consideration the complications and chances of failure is a challenge for the surgeon. We opine that External dacryocystorhinostomy with Silicon Intubation is one of the most effective modality in dealing with such cases.

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“…It has been shown recently by our group that only a low percentage of adult patients (10.5%), felt the scarring to be cosmetically significant (41, on a scale of 1-5) following external DCR. 36 The average age of patients with a 'visible' scar was less than the average age of patients who reported an 'invisible' scar. Using the same scale, we found that for paediatric patients, there was a higher significance of the visibility of scarring noted by patients or their parents, as compared with the elderly group.…”

Section: Eyementioning

confidence: 99%

“…36 In the telephone interview, a low average visibility of scar for external DCR of 1.79 out of five, and a high average satisfaction rate of 4.53 out of five was found. It has been shown recently by our group that only a low percentage of adult patients (10.5%), felt the scarring to be cosmetically significant (41, on a scale of 1-5) following external DCR.…”

Section: Eyementioning

confidence: 99%

Lacrimal drainage obstruction and dacryocystorhinostomy in children

Nemet

Fung

Martin

et al. 2007

Eye

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Purpose To determine the outcome of dacryocystorhinostomy (DCR) for nasolacrimal duct obstruction (NLDO) in children. Results Ninety-four external, 10 endoscopic primary procedures, and five revision procedures were included. Fifty-six of the cases were primary NLDO, and 48 were secondary NLDO. The mean follow-up was 1.44 years. Average age at surgery was 6.674.2 years (mean7SD). Ninety-one eyes needed DCR for the involvement of the lower lacrimal outflow system, and 13 eyes were NLDO associated with congenital punctual/ canalicular dysgenesis. Most of the complications of external DCR were related to Jones tube placement. Five cases (4.8%) needed DCR revision. There was a significantly higher incidence of revision surgery in the non-stented group (Po0.01), and the Jones tube group (Po0.001) as compared with the silicone intubation stent group. Conclusions External DCRs have acceptable long-term clinical and cosmetic results, and low post-operative complication rate. Cases with punctal stenosis or those requiring Jones tube insertion are associated with a higher complication rate. Silicone intubation is associated with a lower need for operative revision.

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Evaluation of the Cosmetic Significance of External Dacryocystorhinostomy Scars

Cited by 54 publications

References 19 publications

Comparison of external and endoscopic endonasal dacryocysto-rhinostomy: a hospital based retrospective study

Comparison of external and endoscopic endonasal dacryocysto-rhinostomy: a hospital based retrospective study

Management of Traumatic Dacryocystitis and Failed Dacryocystorhinostomy Using Silicone Lacrimal Intubation Set

Lacrimal drainage obstruction and dacryocystorhinostomy in children

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