External Versus Endoscopic Endonasal Dacryocystorhinostomy

Grob, Seanna; Campbell, Ashley A.; Lefebvre, Daniel R.; Yoon, Michael K.

doi:10.1097/iio.0000000000000083

Cited by 11 publications

(17 citation statements)

References 41 publications

(68 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The purpose of this surgery is to create a fistula between the lacrimal sac and the nasal cavity. Thus, the tear will flow directly from the lacrimal sac to the nasal cavity without using the lacrimal duct (1). Traditional external or transcutaneous DCR was first described by Toti, and endoscopic DCR (END-DCR), which is an alternative to external DCR (EXT-DCR), was described by Caldwell.…”

Section: Introductionmentioning

confidence: 99%

“…In studies, the rate of success was reported as 80 to 95% (4-7) for EXT-DCR and 60 to 99% (8)(9)(10) for END-DCR. The most important concern of patients with EXT-DCR is the formation of scars on the skin (1). The supporters of END-DCR argue that no scar is formed on the skin and that the pumping function is preserved (11).…”

Section: Introductionmentioning

confidence: 99%

“…Debates over which method is better have been continuing for years, and many studies comparing both these methods have been undertaken. While END-DCR can be performed by both otorhinolaryngologists and ophthalmologists, EXT-DCR is a procedure performed only by ophthalmologists (1). There are a limited number of studies comparing both methods in which END-DCR is performed by an otorhinolaryngologist and EXT-DCR is performed by an ophthalmologist (12).…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

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

Somuk

Alim

Sapmaz

et al. 2016

Turk Arch Otorhinolaryngol

View full text Add to dashboard Cite

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.

show abstract

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

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

Somuk

Alim

Sapmaz

et al. 2016

Turk Arch Otorhinolaryngol

View full text Add to dashboard Cite

show abstract

“…Huang et al also reported that among 554 external DCR procedures performed, it was found that 10.8% of patients reported an unacceptable scar [15]. Proponents of the endonasal endoscopic technique cite the obvious benefits of no skin incision and precluding a scar [15,18]. The other often cited advantages of endoscopic DCR include being less surgically invasive, a shorter operative time, preservation of the lacrimal pump and faster postoperative rehabilitation [19].…”

Section: Endoscopic Vs External Dacryocystorhinostomy: Which Has a Bmentioning

confidence: 99%

The importance of endoscopy in lacrimal surgery

Nair

Singh

Kamal³

et al. 2018

Expert Review of Ophthalmology

View full text Add to dashboard Cite

Introduction: The utilization of endoscopy in lacrimal surgeries has been increasing in the recent past with increasing indications. With the advent of newer generation of telescopes, the practice and learning of endoscopic lacrimal surgeries is expected to improve further. Areas covered: This review provides an overview about endoscope assistance in all conditions that involve pathologies of the lacrimal drainage apparatus. The authors have reviewed recently published literature on the techniques and outcomes of endoscopic dacryocystorhinostomy (DCR) in different scenarios such as acute dacryocystitis, pediatric cases, cases with sinonasal anomalies, traumatic nasolacrimal duct obstructions (NLDO) and revision DCRs. Furthermore, promising new avenues such as the 3D endoscopes, variable viewing endoscopes, dacryoendoscopes, navigation-assisted and augmented reality endoscopic lacrimal surgeries have been discussed. Expert commentary: The aim for clinicians should now move on to addressing lacrimal pathologies with traditionally less favorable outcomes and reducing the failure rates with the technological assistance. As more ophthalmology training programs include structured training modules on endoscopic lacrimal surgery, the popularity, the safety and indications of endoscopic lacrimal surgery by ophthalmologists is expected to increase.

show abstract

“…Despite the emergence of new techniques such as endoscopic DCR, external DCR is still the criterion standard in primary cases, with a success rate of 80-95%. 1…”

Section: Introductionmentioning

confidence: 99%

External dacryocystorhinostomy

Long¹,

Khialdin²,

Azli³

2019

Asian JO

View full text Add to dashboard Cite

Aim: To analyse the epidemiological data, surgical technique, success rate, and complications of patients who underwent external DCR in Hospital Selayang from January 2015 to December 2016. Method: Retrospective case series. Results: A total of 21 eyes of 20 patients who underwent external DCR from January 2015 to December 2016 were identified and reviewed. There were 15 females (75%) and 5 males (25%). Age ranged from 5 to 75 years old, with a median age of 56 years old (IQR 23). Twelve patients presented with epiphora while eight patients presented with symptoms of dacryocystitis. One case was congenital, two were secondary nasolacrimal duct obstruction and the rest were primary nasolacrimal duct obstruction. All patients underwent external DCR under general anaesthesia. Silicone tube were inserted in 21 eyes, of which all were removed 3 months after the surgery except one patient whom had his tube dislodged accidentally. The overall success rate was 90.5% (n = 19), which was defined as no or minimal intermittent epiphora or no reflux on lacrimal irrigation at 12 months postoperative. There was one patient who had a cerebrospinal fluid leak treated successfully with intravenous antibiotics. Conclusion: The surgical success rate for external dacryocystorhinostomy was comparable to that of the global success rate of external DCR. This is attributed to the application of surgical technique such as anterior suspended flap modification and posterior flap excision.

show abstract

External Versus Endoscopic Endonasal Dacryocystorhinostomy

Cited by 11 publications

References 41 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

The importance of endoscopy in lacrimal surgery

External dacryocystorhinostomy

Contact Info

Product

Resources

About