Results of Combined Multispecialty Endoscopic Dacryocystorhinostomy

Kim, Charles; Kacker, Ashutosh; Pearlman, Amy; Lelli, Gary Joseph

doi:10.3109/01676830.2013.788674

Cited by 3 publications

(1 citation statement)

References 20 publications

(17 reference statements)

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“…12 No adjunctive procedures such as septoplasty or polypectomy were performed on any of our patients. In our opinion, if such procedures are deemed necessary they should only be performed by an otolaryngologist, as recommended by Kim et al 14 While some studies have demonstrated that such procedures improve success rates of END-DCR by improving access to the surgical site, 15 we have not found access to be difficult with decongestion of the lateral wall of the nose, after reflection and removal of the nasal mucosa.…”

Section: Discussionmentioning

confidence: 64%

Anatomical and subjective success rates of endonasal dacryocystorhinostomy over a seven-year period

Beshay

Ghabrial

2016

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Purpose Endonasal dacryocystorhinostomy (END-DCR) is a relatively novel approach that has recently been shown in some studies to provide similar success rates to the more traditional external approach for the treatment of nasolacrimal duct obstruction (NLDO). However, a range of success rates using this approach are reported within the literature and the majority of oculoplastic surgeons are still favouring the external approach. The purpose of this study was to review the anatomical and subjective success rates of END-DCRs performed over a 7-year period. Patients and methods We provide a review of the success rates of 288 END-DCRs for the treatment of acquired NLDO performed over a 7-year period by a single oculoplastic surgeon in Sydney, Australia. We describe the operative technique used and define anatomical success as demonstrated patency of the nasolacrimal drainage system at 10 weeks postoperatively while subjective success is defined as complete resolution or significant improvement of symptoms as reported by patients at the same time point. Results In our study, we were able to demonstrate that out of 288 END-DCRs, an average anatomical success rate of 89.6% and an average subjective success rate of 81.3% were achievable. Conclusions We conclude that the success rates using our endonasal approach remain similar to those obtained using the external approach, as reported within the literature, and may be considered as a primary treatment option for acquired NLDO.

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Section: Discussionmentioning

confidence: 64%

Anatomical and subjective success rates of endonasal dacryocystorhinostomy over a seven-year period

Beshay

Ghabrial

2016

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Endoscopic dacryocystorhinostomy following radioactive iodine thyroid ablation

Tassel

Segal

Hsu

et al. 2017

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This article evaluates the efficacy of endoscopic dacryocystorhinostomy (eDCR) for nasolacrimal duct obstruction (NLDO) in patients exposed to radioactive iodine (RAI) for treatment of thyroid carcinoma. Retrospective chart review of 7 eDCR procedures was performed on 6 patients, aged 18 or older, with prior RAI treatment, who underwent eDCR between January 1, 2008 and December 31, 2013 for treatment of epiphora due to NLDO. Average time to tube removal was 159 days, and average follow-up was 341 days. One patient noted complete epiphora relief at the time of their final visit. Partial symptom relief was noted by 3 patients, and recurrent epiphora was noted by 2 patients. In complex patients with RAI-associated NLDO, eDCR may be a reasonable option for relief of epiphora. Appropriate counseling, including the risks of incomplete symptom relief and need for additional surgery, should be discussed pre-operatively with these patients.

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Endoscopic versus external dacryocystorhinostomy: temporal and regional trends in the United States Medicare population

Kshirsagar

Liang

2019

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Results of Combined Multispecialty Endoscopic Dacryocystorhinostomy

Cited by 3 publications

References 20 publications

Anatomical and subjective success rates of endonasal dacryocystorhinostomy over a seven-year period

Anatomical and subjective success rates of endonasal dacryocystorhinostomy over a seven-year period

Endoscopic dacryocystorhinostomy following radioactive iodine thyroid ablation

Endoscopic versus external dacryocystorhinostomy: temporal and regional trends in the United States Medicare population

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