External versus endonasal dacryocystorhinostomy in a specialized lacrimal surgery center

Gauba, Vinod

doi:10.1016/j.sjopt.2013.11.007

Cited by 26 publications

(38 citation statements)

References 9 publications

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“…In this study, the author stated that they employed a packing, which was removed after one day in the patients. Gauba (17) reported no difference in either group in terms of postoperative bleeding. It was reported that there was no statistically significant difference between the two methods in terms of postoperative bleeding in a review of the studies comparing the two methods (18).…”

Section: Discussionmentioning

confidence: 92%

Comparison of Endoscopic and External Dacryocystorhinostomy Results and Analysis of Patients’ Satisfaction

Somuk

Alim

Sapmaz

et al. 2016

Turk Arch Otorhinolaryngol

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Objective: Comparison of endoscopic and external dacryocystorhinostomy (DCR) results and evaluation of patients' satisfaction.Methods: Forty six (35 females and 11 males) patients who underwent endoscopic DCR and 43 (37 females and six males) who underwent external DCR were included. Surgical success was objectively and subjectively assessed. The nasolacrimal duct was irrigated by a saline solution, and the saline solution was objectively visualized by endoscopy from the nose. Subjective assessment was performed asking the patients' epiphora. In addition to evaluating the success of the operation, satisfaction and result surveys were administered to the two groups.Results: There was no statistically significant difference between the two groups in terms of age and sex (respectively p=0.486, p=0.23). However, the number of females was higher than the number of males in the two groups, and the difference was statistically significant (endoscopic-DCR p=0.01, external-DCR p=0.001). There was no statistically significant difference between the two groups in terms of postoperative bleeding and punctum damage. The success rate was 84.7% in the endoscopic DCR group and 90.6% in the external DCR group. There was no statistically significant difference in the success rate between the two groups (p=0.397). The survey results revealed that there was no statistically significant difference between the two groups in terms of patient satisfaction (p=0.397). Conclusion:The results of many studies in the literature show operation success rates between the two groups that are similar to ours. Both techniques have advantages and disadvantages. Independent of the preferred procedure, our results show that functional success mainly determines patient satisfaction.

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Section: Discussionmentioning

confidence: 92%

Comparison of Endoscopic and External Dacryocystorhinostomy Results and Analysis of Patients’ Satisfaction

Somuk

Alim

Sapmaz

et al. 2016

Turk Arch Otorhinolaryngol

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“…(18) Our results are comparable to Gauba who reported 18% cases of intraoperative haemorrhage in external DCR and 13% cases of intraoperative haemorrhage in endonasal DCR. (24) The bleeding was managed with local vasoconstrictive agents. The bleeding in case of external DCR can be from cutaneous vessels, branches of angular vessels, branches of ethmoidal vessels and from nasal mucosal vessels.…”

Section: Discussionmentioning

confidence: 99%

Comparison of endonasal endoscopic dacryocystorhinostomy over external dacryocy storhinostomy

Goel¹,

Kotwal²,

Gupta³

et al. 2016

IJASHNB

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Dacryocystorhinostomy (DCR) is an operation indicated for nasolacrimal duct obstruction. It creates a lacrimal drainage pathway into the nasal cavity to facilitate drainage of the previously obstructed excreting system. DCR can be performed either through external or endoscopic approach. We undertook this study to compare the results and advantages of endonasal endoscopic DCR with external DCR with respect to intraoperative and postoperative complications, duration of surgery, functional and cosmetic outcome. Out of 40 patients taken up for DCR, 20 underwent unilateral external DCR, 18 had unilateral endoscopic DCR and 2 had bilateral endoscopic DCR. Thus, a total of 22 eyes underwent endoscopic DCR and it was concluded that endoscopic dacryocystorhinostomy is a less time consuming, almost equally effective and aesthetically better then external approach and is an acceptable and functional alternative to external dacryocystorhinostomy.

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“…[5] Nowadays, to this end, two basic techniques have been used as external and endonasal dacryocystorhinostomy. [6] External DCR was described by Toti in 1904 and various modifications of the original technique have been developed in subsequent years. [6] In various series, success rates of external DCR change between 70 and 100 percent.…”

mentioning

confidence: 99%

“…[6] External DCR was described by Toti in 1904 and various modifications of the original technique have been developed in subsequent years. [6] In various series, success rates of external DCR change between 70 and 100 percent. [7] Endonasal DCR was described by Caldwell in 1893 and then modified by West and Halle.…”

mentioning

confidence: 99%

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Comparison of different surgical methods in endonasal dacryocystorhinostomy

Ulusoy¹,

Erden²,

Yüksel³

et al. 2015

ENT Updates

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External versus endonasal dacryocystorhinostomy in a specialized lacrimal surgery center

Abstract: Endonasal DCR surgery offers a very attractive alternative to the well established technique of external DCR surgery for the treatment of primary acquired nasolacrimal duct obstruction with equivalent success rates, shorter surgical time and higher patient satisfaction.

Cited by 26 publications

References 9 publications

Comparison of Endoscopic and External Dacryocystorhinostomy Results and Analysis of Patients’ Satisfaction

Comparison of Endoscopic and External Dacryocystorhinostomy Results and Analysis of Patients’ Satisfaction

Comparison of endonasal endoscopic dacryocystorhinostomy over external dacryocy storhinostomy

Comparison of different surgical methods in endonasal dacryocystorhinostomy

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