Long-term outcome of transcanalicular microdrill dacryoplasty: a minimally invasive alternative for dacryocystorhinostomy

Mihailovic, Nataša; Blumberg, Alina Friederike; Rosenberger, Friederike; Brücher, Viktoria Constanze; Lahme, Larissa; Eter, Nicole; Merté, Ralph-Laurent; Alnawaiseh, Maged

doi:10.1136/bjophthalmol-2020-316146

Cited by 6 publications

(9 citation statements)

References 18 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…While long-term data on DCR show a success rate of around 90%, the only publication with a similar follow-up period after transcanalicular dacryoendoscopy showed a success rate of just under 60%, although the initial success rate was 84% 11 . When comparing success rates of different studies on nasolacrimal duct surgery, the definition of success and the careful and correct indication for the performance of microendoscopic procedures need to be reviewed critically 11 . In our study only a complete resolution of epiphora (corresponding to a Munk score of grade 0) was defined as success.…”

Section: Discussionmentioning

confidence: 96%

“…Data on the recurrence of symptoms in these patients were also assessed by a telephone survey in the period from 2017 to 2019. In this study, only the complete resolution of symptoms ("no epiphora") without subsequent dacryocystitis, inflammation of the lacrimal apparatus or any additional surgical intervention during the follow-up period was defined as success, corresponding to a Munk score of grade 0 11 , 12 .…”

Section: Methodsmentioning

confidence: 99%

“…The postoperative success rate after three months ranges between 75 and 84% 9 , 10 . Long-term data of a large cohort after transcanalicular MDP have been published recently for the first time and show a success rate of about 60% after a follow-up period of 8.7 ± 0.9 years 11 .…”

Section: Introductionmentioning

confidence: 97%

See 2 more Smart Citations

Nasolacrimal intubation in transcanalicular endoscopic dacryoplasty: a long-term follow-up study

Zimmermann¹,

Eßer²,

Merté³

et al. 2023

Sci Rep

Self Cite

View full text Add to dashboard Cite

Nowadays, transcanalicular endoscopic dacryoplasty represents the majority of lacrimal duct surgery procedures performed in adults in specialised centers. However, there are still hardly any data available regarding the intra- and postoperative care, particularly regarding the duration of silicone tube intubation (STI). Our aim was to evaluate the relation between tube duration and recurrence of symptoms in patients who underwent transcanalicular microdrill dacryoplasty (MDP) in a long-term setting. Medical records of 576 adult patients after MDP were retrospectively reviewed. A total of 256 eyes of 191 patients could be included. The median follow-up time was 7.83 [7.08; 9.25] years. In 57.0% of the cases there was still full resolution of symptoms at the time of the survey. The median duration of the STI was 6 [3.00; 6:00] months. When distinguishing between a tube duration < 3 months and ≥ 3 months there was a significant difference in the long-term success rate (< 3 months: 38%; ≥ 3 months: 61%; p = 0.011). In conclusion, an early removal of the STI (< 3 months) after transcanalicular MDP seems to be associated with a higher incidence of recurrence of symptoms. This should be considered in the intra- and postoperative care of patients following this minimally invasive first-step procedure.

show abstract

Section: Discussionmentioning

confidence: 96%

Section: Methodsmentioning

confidence: 99%

See 1 more Smart Citation

Nasolacrimal intubation in transcanalicular endoscopic dacryoplasty: a long-term follow-up study

Zimmermann¹,

Eßer²,

Merté³

et al. 2023

Sci Rep

Self Cite

View full text Add to dashboard Cite

show abstract

“…Although dacryocystorhinostomy using a nasal endoscope for patients with chronic dacryocystitis was first reported in 1989 and the first clinical study of endoscopic dacryocystorhinostomy was published in 1994, the success rates of early nasal endoscopic operations were not high. Improvements in endoscopic equipment and techniques [ 3 ] and further knowledge of lacrimal duct anatomy have increased the usefulness of nasal endoscope technology in ophthalmology [ 4 ], with endoscopic dacryocystorhinostomy becoming routine in lacrimal duct operations [ 5 ].…”

Section: Discussionmentioning

confidence: 99%

Efficacy and Safety of Modified Seamless Endoscopic Dacryocystorhinostomy in Patients with Chronic Dacryocystitis

Wang

Liu

Cao

et al. 2022

Journal of Ophthalmology

View full text Add to dashboard Cite

Objective. To evaluate the efficacy and safety of a modified seamless endoscopic dacryocystorhinostomy (EN-DCR) with chronic dacryocystitis. Methods. This study included 54 patients (54 eyes) with chronic dacryocystitis treated in our hospital from 2019 to 2021, including 32 patients (32 eyes) who underwent modified and 22 patients (22 eyes) who underwent routine EN-DCR. In the modified EN-DCR, the nasal cavity was filled 30 min before the operation by injection of 1 mg/ml adrenaline hydrochloride and application of ephedrine hydrochloride and nitrofurazone nasal drops. Before the operation, the lacrimal passages were rinsed with a 1 : 2 mixture of dilute methylene blue and normal saline. The “I”-shaped incision was replaced by a “C“-shaped incision near the lateral bone window. In place of suturing, a gelatin sponge was applied at the confluence of the lacrimal sac and nasal mucosa. After the end of the operation, the lacrimal sac was filled with tapered expansion sponge for 1 week. In routine EN-DCR, the nasal cavity was filled with 1 mg/ml epinephrine hydrochloride, and nitrofurazone nasal drops were provided for 5 minutes after the beginning of the operation; and a “I”-shaped incision was made in the nasal mucosa, with one stitch for each anterior and posterior flap. Operation time, intraoperative bleeding, and postoperative lacrimal duct irrigation were compared, with the curative effect evaluated after a follow-up of 6 months. Results. Operation time was significantly shorter (41.3 ± 12.1 min vs. 65.4 ± 11.6 min; χ2 = 7.312, P < 0.05 ) and intraoperative bleeding was significantly lower (12.5 ± 5.2 ml vs. 60.3 ± 8.9 ml; χ2 = 24.883, P < 0.05 ) in the modified group than in the routine EN-DCR group. After follow-up for 6 months, the effective cure rate was significantly higher in the modified group than in the routine group (96.9% vs. 68.2%; χ2 = 6.383, P < 0.05 ). Conclusion. Compared with routine EN-DCR, modified seamless EN-DCR can achieve better surgical outcomes, shorten operation time, and reduce intraoperative bleeding.

show abstract

“…Im Rahmen einer TWE wird dabei nach Rekanalisierung zur Vermeidung postoperativer Verklebungen üblicherweise eine Intubation mit einem Silikonschlauch für die Dauer von ca. 3 Monaten vorgenommen [6,7]. Bei der externen DCR wird die Notwendigkeit einer Intubation der Tränenwege dagegen weiterhin diskutiert [8].…”

Section: Anwendungsmöglichkeiten Eines Neuartigen Vorgeladenen Intubaunclassified

Application Possibilities of a New Preloaded Nasolacrimal Duct Intubation System

Mihailovic

Grenzebach

Eter

et al. 2021

Klin Monbl Augenheilkd

Self Cite

View full text Add to dashboard Cite

Introduction The LacriJet (FCI S. A. S. – France Chirurgie Instrumentation, Paris, France) represents a novel, simplified and preloaded system for monocanalicular or monocanaliculonasal nasolacrimal duct intubation. It is a further development of the Masterka and shall reduce the intubation time during the surgical procedure. The aim of the present study was to present first experiences with this system for different indications. Material and Methods All patients who underwent nasolacrimal duct intubation with the LacriJet at the University of Muenster Medical Center in the period from March to November 2019 were included. The postoperative outcome was evaluated 3 to 6 months later. Results In total, 12 nasolacrimal duct intubations with the LacriJet were performed at our center in the above-mentioned period. The main indication for intubation was congenital nasolacrimal duct obstruction (CNLDO). In addition, intubation was performed in cases with eye lid tumors involving the nasolacrimal duct, in a case of canalicular laceration and in a case of canaliculitis. In 3 cases, there was an early dislocation or a complete loss of intubation. Of these, 2 were cases with CNLDO and the third dislocation was due to manipulation by the patient. All in all, the functional results were satisfying. Summary The use of the LacriJet is highly suitable for the treatment of CNLDO, stenting in canalicular laceration or lid tumours involving the lacrimal drainage system. However, the known disadvantages of monocanalicular intubation (dislocation, early loss of intubation) also occur with this type of system and a system briefing seems useful. The LacriJet therefore represents a modern and simple method for nasolacrimal duct intubation and can be used for various indications.

show abstract

Long-term outcome of transcanalicular microdrill dacryoplasty: a minimally invasive alternative for dacryocystorhinostomy

Cited by 6 publications

References 18 publications

Nasolacrimal intubation in transcanalicular endoscopic dacryoplasty: a long-term follow-up study

Nasolacrimal intubation in transcanalicular endoscopic dacryoplasty: a long-term follow-up study

Efficacy and Safety of Modified Seamless Endoscopic Dacryocystorhinostomy in Patients with Chronic Dacryocystitis

Application Possibilities of a New Preloaded Nasolacrimal Duct Intubation System

Contact Info

Product

Resources

About