Long-term outcomes of endoscopic endonasal conjunctivodacryocystorhinostomy with Jones tube placement: A thirteen-year experience

Chang, Minwook; Lee, Hwa; Park, Minsoo; Baek, Sehyun

doi:10.1016/j.jcms.2014.10.001

Cited by 19 publications

(29 citation statements)

References 17 publications

(23 reference statements)

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“…The extended timeline for this study enabled us to capture delayed failures occurring up to 17 years after the initial endo‐DCR procedure, although the average time to failure in our patient population was 2.5 years after primary endo‐DCR. Other authors have reported relatively shorter average times to endo‐DCR failure, including 7.5 weeks, 12.7 weeks, within 4 months, and 10 months . This discrepancy may reflect differences in patient populations, surgical techniques, or definitions of success and failure.…”

Section: Discussionmentioning

confidence: 95%

“…Our patient population spans 30 years of a single surgeon's experience performing endo‐DCR surgeries, making it the longest reported longitudinal study for this procedure. Previously published long‐term DCR experiences reported a 14‐year period in The Netherlands and a 13‐year period in Korea . The extended timeline for this study enabled us to capture delayed failures occurring up to 17 years after the initial endo‐DCR procedure, although the average time to failure in our patient population was 2.5 years after primary endo‐DCR.…”

Section: Discussionmentioning

confidence: 99%

“…Previously published long-term DCR experiences reported a 14-year period in The Netherlands 8 and a 13-year period in Korea. 9 The extended timeline for this study enabled us to capture delayed failures occurring up to 17 years after the initial endo-DCR procedure, although the average time to failure in our patient population was 2.5 years after primary endo-DCR. Other authors have reported relatively shorter average times to endo-DCR failure, including 7.5 weeks, 10 12.7 weeks, 11 within 4 months, 12 and 10 months.…”

Section: Discussionmentioning

confidence: 99%

“…Other authors have reported relatively shorter average times to endo-DCR failure, including 7.5 weeks, 10 12.7 weeks, 11 within 4 months, 12 and 10 months. 9 This discrepancy may reflect differences in patient populations, surgical techniques, or definitions of success and failure.…”

Section: Discussionmentioning

confidence: 99%

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Predictors of long‐term success and failure in primary and revision endoscopic dacryocystorhinostomy

Lehmann

Scangas

Jafari

et al. 2019

Int Forum Allergy Rhinol

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Background Although endoscopic dacryocystorhinostomy (endo‐DCR) is a common treatment of nasolacrimal duct obstruction, little is known about the determinants of surgical success and failure. The purpose of this study was to identify patient‐ and technique‐specific factors that may influence surgical outcomes of primary and revision endo‐DCR. Methods A retrospective review was conducted of 596 patients who underwent endo‐DCR over a 30‐year period (1989‐2018). Patients’ demographics and surgical techniques were assessed. Results Among the cohort of patients (n = 478) who underwent primary endo‐DCR, 10% (n = 48) required revision surgery. Patients who failed primary DCR tended to be younger (p = 0.015) and were less likely to have chronic sinonasal inflammation on histopathology (p = 0.047) than the successful surgery group. After adjusting for patient demographics and comorbidities, the occurrence of a postoperative complication was significantly associated with primary DCR failure (odds ratio [OR], 2.2; p = 0.032). Among the cohort of patients (n = 118) who underwent revision endo‐DCR, 8.5% (n = 10) required additional revision surgery. Patients who failed revision DCR tended to be younger (p = 0.022), more likely to have had intraoperative laser usage (p = 0.031), and more likely to have had an intraoperative complication (p = 0.013) than the successful revision surgery group. Endo‐DCR failure was not associated with smoking status, middle turbinate resection, or intraoperative visualization of the internal common punctum (p > 0.05). Conclusion An understanding of factors associated with primary and revision endo‐DCR failure can help to inform preoperative counseling, intraoperative surgical technique, and postoperative care in the treatment of patients with nasolacrimal duct obstruction.

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Section: Discussionmentioning

confidence: 95%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

Predictors of long‐term success and failure in primary and revision endoscopic dacryocystorhinostomy

Lehmann

Scangas

Jafari

et al. 2019

Int Forum Allergy Rhinol

View full text Add to dashboard Cite

show abstract

“…Chang et al . [3] reported a 13-year follow-up results of CDCR with Jones tube placement. The most common cause of failure was medial migration of the Jones tube apart from inappropriate tube insertion in primary surgery and severe inflammation.…”

Section: Discussionmentioning

confidence: 99%

Medial Canthoplasty Combined with Conjunctivodacryocystorhinostomy for the Treatment of Delayed Medial Telecanthal Deformity

Sun

Yang

Huang

et al. 2017

Chinese Medical Journal

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Background:Rupture of the medial canthal ligament can be caused by many events. It remains a challenge to rebuild the drainage system and restore the function. The aim of this study was to evaluate the clinical efficacy of medial canthoplasty combined with conjunctivodacryocystorhinostomy (CDCR) in patients with medial telecanthal deformities and lacrimal drainage system damage.Methods:Twenty-two patients (22 eyes) treated with medial canthoplasty and CDCR during June 2012 to June 2014 were included in this retrospective study. For all patients, a self-tapping, titanium, low-profile head microscrew was drilled into the solid bone on the posterior aspect of the anterior lacrimal crest at the attachment position of the medial canthal ligament. Medpor-coated tear drainage tubes were applied. Distance of patient's lateral displacement before and after operation was recorded and compared. The complications of CDCR were described.Results:Before the surgery, distance of patient's canthal displacement was 4–6 mm. The canthal distance between two eyes of patients with surgery was 1 mm or less. Among patients with CDCR, four patients had proximal obstruction and two patients had distal obstruction. Five patients had tube malposition, for example, tube extrusion 1–3 months after surgery.Conclusions:Medial canthoplasty combined with CDCR is an effective surgical method for treatment of patients with medial telecanthal deformity and lacrimal drainage system obstruction. The study indicates that medial canthoplasty combined with CDCR surgery rebuilds normal appearance of eyelid and contour of the medial canthus and successfully repairs the function of the lacrimal drainage system.

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Conjunctivodacryocystorhinostomy (CDCR) success rates and complications in endoscopic vs non‐endoscopic approaches: a systematic review

Eisenbach

Karni

Sela

et al. 2020

Int Forum Allergy Rhinol

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Background Epiphora due to refractory bicanalicular obstructions is typically managed by conjunctivodacryocystorhinostomy CDCR with or without the assistance of nasal endoscopy However the evidence for its benefit is unclear Methods A systematic review of the literature on the treatment of epiphora by CDCR was performed March All studies reporting original data on patients suffering from epiphora treated with CDCR surgery were included Primary outcomes were success and satisfaction rates Secondary outcomes were CDCR complications A comparison was made between the results obtained in patients undergoing CDCR with vs without assistance of nasal endoscopy Results Fi y-four studies representing information on CDCR procedures were included in the systematic review All the studies are case series most of them retrospective Lester Jones tube LJT is the most commonly used in CDCR The overall success rate with all studies included n = was n = in CDCR with assistance of nasal endoscope and n = in the non-endoscopic approach The overall "tube displacement" rate the most common complication was n = n = tube displacement in CDCR with assistance of nasal endoscope vs n = in the non-endoscopic approach Only studies used patient-reported outcome measures PROMs to evaluate epiphora improvement Due to the low level of evidence and the high bias of the studies a meta-analysis was not performed Conclusion Based on the data available in the literature CDCR is considered an effective procedure for treating epiphora due to proximal obstruction Controlled and qualitative studies are needed to clarify the significance of the endoscope's contribution to CDCR © 2020 ARS-AAOA, LLC.

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Long-term outcomes of endoscopic endonasal conjunctivodacryocystorhinostomy with Jones tube placement: A thirteen-year experience

Cited by 19 publications

References 17 publications

Predictors of long‐term success and failure in primary and revision endoscopic dacryocystorhinostomy

Predictors of long‐term success and failure in primary and revision endoscopic dacryocystorhinostomy

Medial Canthoplasty Combined with Conjunctivodacryocystorhinostomy for the Treatment of Delayed Medial Telecanthal Deformity

Conjunctivodacryocystorhinostomy (CDCR) success rates and complications in endoscopic vs non‐endoscopic approaches: a systematic review

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