Microsurgical Endonasal Dacryocystorhinostomy With Long-term Insertion of Bicanalicular Silicone Tubes

Häusler, Rudolf; Caversaccio, Marco

doi:10.1001/archotol.124.2.188

Cited by 56 publications

(38 citation statements)

References 6 publications

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“…At the end of the surgical procedure we may apply mitomycin C, preventing proliferation of scarring tissue 1,18,19 and also mucous flap sutures. In our sample, we did not use these methods, but the use of silicone stents to prevent stenosis of rhinostome was used in all patients.…”

Section: Discussionmentioning

confidence: 99%

“…The reasons for failure may be owed to many different factors: excessive bleeding, wrong location of lacrimal sac, incision of inappropriate mucosa (leading to synechia and excessive granulation), failure in bone opening, bone neoformation, canalicular obstruction, SUMP syndrome and affections inherent to the nasal fossa (narrow nasal fossa, mucocele, etc). Other complications are: soft tissue infection after surgery (8%), bleeding, orbital complications, such as fat prolapse, corneal irritation, and nasal discomfort caused by silicone tubes 1,4,10,19 . Christmas et al 22 reported the complication of DCR EM that, owing to formation of synechia, caused blocked drainage of middle meatus, leading to frontal-ethmoidal sinusitis, a fact that should warn the Otorhinolaryngologists about the possible complications inherent to the procedure.…”

Section: Discussionmentioning

confidence: 99%

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Dacriocistorrinostomia endoscópica

Filho¹,

Voegels

Butugan

et al. 2005

Rev. Bras. Otorrinolaringol.

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Endonasal endoscopic dacryocystorhinostomy (EN-DCR)is now a well-established procedure to relieve nasolacrimal duct obstruction, becoming its domain for the ENT surgeons indispensable. Aim: The aim of the present study is to report the experience of the Otorhinolaryngology Department of the University of São Paulo Medical School in the management of the obstruction of the drainage of the nasolacrimal system by EN-DCR, comparing with the results in literature. Study design: clinical retrospective. Material and Method: We reviewed the medical records of 17 patients (17 eyes) that were submitted to EN-DCR between april 2001 and july 2004. We analysed: sex, age at the time of diagnosis, etiology, clinical findings, surgical technique, use of silicone tubes, follow-up and complications. Results: Eight men and nine women, the age range was from 29 to 79 years (mean 42.6413.1 years), mean follow-up time: 15 months, presented a lacrimal clinic with epiphora. Powered DCR was performed in 06 cases and YAG LASER in 01 patient. Silicone tubes were used in all cases and left in place mean 7.9 weeks. The surgical success rate was 82,3%. Conclusion: EN-DCR showed one safe technique, with advantages in relation to the external technique. So ophthalmologists and ENT physicians must work in harmony to offer more benefits to its patients.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Dacriocistorrinostomia endoscópica

Filho¹,

Voegels

Butugan

et al. 2005

Rev. Bras. Otorrinolaringol.

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“…For this surgical approach, we use rigid endoscopes. Endonasal procedures using surgical microscope are conducted by some teams 12 , but use of microscope for endonasal surgery has not got as popular as the use of rigid endoscopes.…”

Section: Discussionmentioning

confidence: 99%

Dacriocistorrinostomia endonasal em crianças

Knijnik

2005

Rev. Bras. Otorrinolaringol.

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Aim:To verify whether our results with endonasal endoscopic dacryocystorhinostomy in children with nasolacrimal duct obstruction allow us to consider this technique a valid treatment alternative for children. Study design: clinical with transversal cohort. Material and Method: Twenty-seven endoscopic endonasal dacryocystorhinostomies were performed in children 2 to 12 years of age for nasolacrimal duct obstruction. Previous probings in all patients were unsuccessful. The technique employed uncinectomy and a small lacrimal sac opening. Follow-up time was 3 months. Results: Twenty-one surgeries (77,8%) were successful. The only complication was silicone prolapse in one case. Conclusion: Our results confirm endoscopic endonasal dacryocystorhinostomy as an acceptable and safe method for treating children with nasolacrimal duct obstructions that are resistant to probings.

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“…A entubação com tubo de silicone deixado por longo período apresenta melhores resultados, mesmo quando há obstrução canalicular ou agenesia de ducto nasolacrimal (24) .…”

Section: Discussionunclassified

Dacriocistorrinostomia externa em crianças

Ferraz¹,

Schellini²,

Sakamoto³

et al. 2003

Arq. Bras. Oftalmol.

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Objetivo: Avaliar a eficácia da dacriocistorrinostomia (DCR) externa realizada em crianças. Métodos: O estudo foi retrospectivo, avaliando-se 16 crianças com idade inferior a 10 anos, portadoras de obstrução da via lacrimal e submetidas a DCR externa, no período de 1986 até 2001. Foram avaliadas as características dos portadores, as queixas apresentadas, o exame e o tipo de cirurgia efetuada, assim como o resultado do tratamento. Resultado: A amostra estudada não diferiu quanto ao sexo e faixa etária. A cirurgia mais realizada foi DCR sem o uso de entubação de vias lacrimais (87,5%). 62,5% tiveram resolução da epífora com um único procedimento e 81,0%, com dois. Conclusão: O resultado da DCR externa, quando realizada em crianças, é semelhante ao observado em adultos. A epífora pode ocorrer em crianças, quando, em grande parte, decorre de obstrução do ducto nasolacrimal devido à persistência da membrana de Hasner ou estenose do sistema de drenagem lacrimal abaixo do saco lacrimal (1)(2) . External dacryocystorhinostomy in childrenO quadro clínico de epífora e secreção pode ter resolução espontânea na grande maioria dos portadores (1) . Quando isso não ocorre, massagens e/ou antibioticoterapia tópica podem ser úteis.No entanto, em poucos casos há persistência dos sintomas e aparecimento de quadros infecciosos, tornando necessário utilizar tratamentos intervencionistas, como a sondagem das vias lacrimais, a entubação, a dilatação intracanalicular usando cateter balão e a dacriocistorrinostomia (DCR) (3)(4) .Quando a sondagem e a entubação não apresentam resultados satisfatórios ou quando há dacriocistite aguda, a DCR pode ser realizada pelas vias externa ou endonasal (2,5) .No entanto, poucos são os relatos enfocando a resolutibilidade da cirurgia quando realizada em crianças.Assim, o objetivo deste estudo é avaliar a eficácia da DCR externa, realizada como tratamento da obstrução de vias lacrimais, em crianças abaixo de 10 anos. MÉTODOSForam avaliadas retrospectivamente 16 crianças (16 vias lacrimais) com idade inferior a 10 anos, portadoras de obstrução das vias lacrimais e submetidas a DCR externa no Hospital das Clínicas de Botucatu/UNESP, entre os anos de 1986 e 2001.

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Microsurgical Endonasal Dacryocystorhinostomy With Long-term Insertion of Bicanalicular Silicone Tubes

Cited by 56 publications

References 6 publications

Dacriocistorrinostomia endoscópica

Dacriocistorrinostomia endoscópica

Dacriocistorrinostomia endonasal em crianças

Dacriocistorrinostomia externa em crianças

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