External Dacryocystorhinostomy with and Without Suturing the Posterior Mucosal Flaps

Kaçaniku, Gazmend; Begolli, Ilir

doi:10.5455/medarh.2014.68.54-56

Cited by 20 publications

(21 citation statements)

References 9 publications

(8 reference statements)

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“…On the contrary to this assump on, there was no significant associa on between type of flap anastomosis with the outcome of the surgery in our study, which is similar to the study conducted by Turkcu, Elwan 26,27,28 a n d . W h i l e p e r f o r m i n g e x t e r n a l K a c a n i k u dacryocystorhinostomy surgery, anastomosis of both the flap is technically difficult and me consuming compared to the anastomosis of anterior flap only.…”

Section: Original Research Articlesupporting

confidence: 82%

Factors Affecting the Success Rate of External Dacryocystorhinostomy at B. P. Koirala Institute of Health Sciences, Dharan, Nepal

Pokharel

Chaudhary

Chaurasiya

2017

Birat J. Health Sci.

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IntroductionAny disturbance to the normal ouVlow of tears through the nasolacrimal passage causes overﬂow known as epiphora. The clinical symptoms of epiphora range from mild dribble to the continuous ouVlow of tears. Watering of eyes caused by the nasolacrimal drainage obstruction is managed by surgery. One of the many surgeries to treat this is external dacryocystorhinostomy.ObjectiveThe objective of this study was to evaluate the success rate of external dacryocystorhinostomy as well as factors aﬀecting it.MethodologyThis is a retrospective cross-sectional study, conducted in the Department of Ophthalmology, B. P. Koirala Institute of Health Sciences (BPKIHS), Dharan with the approval of Institutional Review Committee, BPKIHS. The medical records of patients who underwent external Dacryocystorhinostomy surgery from April 2011 to April 2016 at BPKIHS were retrospectively reviewed. Statistical analysis was performed using SPSS for windows, version 11.5 (SPSS Inc., Chicago, IL). Binary logistic regression models were used to investigate the association of the surgical outcome with various predicting variables.ResultsThe success rate of the external dacryocystorhinostomy was 78.09%. Factors studied were: age, with a range of 2-81 years; duration of symptoms with a range of 1-84 months; and gender of the patients. The intra-operative factors studied were use of silastic tube, types of ﬂap, and osteotomy size. Among these factors, the duration of symptoms and osteotomy size had signiﬁcant association with the outcome of the surgery p<0.05.ConclusionOur study yielded high success rate in patients with shorter duration of watering of eyes and larger osteotomy size during surgery. Hence, a larger osteotomy size and early intervention is recommended for better surgical outcome. Birat Journal of Health Sciences Vol.2/No.1/Issue 2/ Jan - April 2017, Page: 196-200

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Section: Original Research Articlesupporting

confidence: 82%

Factors Affecting the Success Rate of External Dacryocystorhinostomy at B. P. Koirala Institute of Health Sciences, Dharan, Nepal

Pokharel

Chaudhary

Chaurasiya

2017

Birat J. Health Sci.

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“…[2][3][4] Although double-flap anastomosis is technically difficult and time-consuming, it has been a key procedure in achieving higher success of ex-DCR. [2][3][4][5][6] The success rate of ex-DCR without mucosal flap anastomosis (88.0%-97.9%) is reportedly similar to that of the double-flap anastomosis technique, 2,3,5 -18 resulting in some doubt regarding the usefulness of mucosal anastomosis in obtaining a higher success rate of ex-DCR.…”

supporting

confidence: 51%

External Dacryocystorhinostomy With or Without Double Mucosal Flap Anastomosis

Takahashi

Mito²,

Kakizaki³

2015

Journal of Craniofacial Surgery

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The aim of this study was to compare surgical outcomes of external dacryocystorhinostomy with or without double mucosal flap anastomosis. A retrospective chart review was performed for 205 sides of 178 patients diagnosed with nasolacrimal duct obstruction. Double-flap anastomosis was performed on 57 sides (double-flap group) and complete flap excision on 148 sides (no-flap group). Criteria for surgical success were defined as no or minimal intermittent epiphora and no reflux on lacrimal irrigation 12 months postoperatively. Consequently, surgery was successful for 53 sides (93.0%) in the double-flap group and 138 sides (93.2%) in the no-flap group. There was no statistically significant difference in success rate between the groups (P = 0.947, the Fisher exact probability test). This study demonstrated that external dacryocystorhinostomy without flap anastomosis had a surgical outcome similar to that of double-flap anastomosis.

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“…For comparison, numerous studies have reported the success rate for external DCR to 90%‐98% (Delaney & Khooshabeh ; Tsirbas et al. ; Kacaniku & Begolli ; Caglar et al. ; Lee et al.…”

Section: Discussionmentioning

confidence: 99%

Long‐term outcome of lacrimal stent intubation for complete acquired lacrimal drainage obstructions

Bohman

Kugelberg

Kopp

2019

Acta Ophthalmologica

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Purpose: To investigate long-term outcome and report reoperation rate of noninfected, complete acquired lacrimal drainage obstruction (ALDO) treated with canaliculodacryocystoplasty (CDCP) depending on site of stenosis. Method: Consecutive adult patients with non-infected, complete ALDO treated with CDCP were followed for 76 months. Location of stenosis at preoperative visit and intraoperative probing was recorded, and during follow-up, recurrence of stenosis prompting additional surgery and complications were noted. Survival analysis was applied to compare reoperation rate depending on site of stenosis. A follow-up questionnaire was sent to patients not requiring reoperation asking to grade current epiphora problems. Results: Among 85 included cases (71 patients), 57 were classified as canalicular stenosis and 28 as nasolacrimal duct obstruction (NLDO) preoperatively. At the end of follow-up, 39% (33/85) of cases had required additional surgery due to persistent/recurrent symptoms. No statistical difference was found between these groups.During CDCP, 25 of the 57 preoperatively classified canalicular stenosis were found to have an additional obstruction below the sac. The group with only canalicular stenosis had a statistically significant higher survival compared with cases with NLDO or multiple obstructions (p = 0.03). Of patients responding to the follow-up questionnaire, 11/37 cases experienced epiphora often or constant. Conclusion: Treating complete NLDO with CDCP results in a high reoperation rate and seems an insufficient alternative. Canaliculodacryocystoplasty (CDCP) may be discussed if preoperative examination indicates canalicular stenosis and dacryocystorhinostomy is not desirable. However, the patient needs to be aware of the higher risk for additional surgery, especially if a second stenosis is found during probing.

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External Dacryocystorhinostomy with and Without Suturing the Posterior Mucosal Flaps

Cited by 20 publications

References 9 publications

Factors Affecting the Success Rate of External Dacryocystorhinostomy at B. P. Koirala Institute of Health Sciences, Dharan, Nepal

Factors Affecting the Success Rate of External Dacryocystorhinostomy at B. P. Koirala Institute of Health Sciences, Dharan, Nepal

External Dacryocystorhinostomy With or Without Double Mucosal Flap Anastomosis

Long‐term outcome of lacrimal stent intubation for complete acquired lacrimal drainage obstructions

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