Rhinosporidiosis of the lacrimal sac masquerading as chronic dacryocystitis: a rare presentation

Pradhan, Pradeep; Samal, Swagatika

doi:10.4322/acr.2020.214

Cited by 1 publication

(2 citation statements)

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“…The underlying reason for END-DCR's efficacy is its ability to create appropriately sized bone pores, fostering the formation of a wider nasal mucosa flap, which effectively relieves obstruction caused by stenosis of the lacrimal passage. [8,26] The use of a nasal endoscope ensures a clear surgical field and minimizes damage to adjacent tissues. Moreover, the preservation of the medial canthal ligament during END-DCR protects the physiological structure of the lacrimal sac, aiding postoperative recovery.…”

Section: Discussionmentioning

confidence: 99%

“…[1][2][3] At present, the clinical remedy of chronic dacryocystitis includes lacrimal duct irrigation, antibiotic ophthalmic medicine, operation, and so on. [4][5][6][7][8] The most frequently used ones are surgical remedy, which aims to reestablish the internal nasal drainage channel, remove the obstruction of nasolacrimal duct, and eliminate inflammation. [9][10][11] Dacryocystorhinostomy (DCR) is the main surgical method to treat chronic dacryocystitis.…”

Section: Introductionmentioning

confidence: 99%

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Analysis of the safety and effectiveness of endoscopic nasal dacryocystorhinostomy in the remedy of chronic dacryocystitis

Li,

Sha

et al. 2024

Medicine

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To estimate the safety and effectiveness of endoscopic nasal dacryocystorhinostomy in the remedy of chronic dacryocystitis. The clinical data of 105 subjects with chronic dacryocystitis enrolled into our hospital were analyzed retrospectively. The subjects were distinguished into nasal endoscopic group (endoscopic dacryocystorhinostomy; i.e., 51 cases) according to their surgical methods and external-route group (external-route dacryocystorhinostomy; i.e., 54 cases). The therapeutic effect, lacrimal gland secretion function, tear film stability, degree of epiphora, lacrimal passage patency, complications, and recurrence rate were contrasted between the 2 groups. The nasal endoscopic group exhibited a higher effective remedy rate (98.04%) compared with the external-route group (83.33%). Three months postoperation, both groups showed improvements in lacrimal gland secretion function and tear film stability, with the nasal endoscopic group demonstrating more significant enhancement in lacrimal gland secretion function than the external-route group. Six months postoperation, a reduction in the degree of epiphora was observed in both groups, with the nasal endoscopic group displaying a more pronounced decrease in epiphora severity and a higher lacrimal passage patency rate than the external-route group. Furthermore, the nasal endoscopic group experienced lower incidences of postoperative complications and recurrence rates. Endoscopic dacryocystorhinostomy is safe and effective in the remedy of chronic dacryocystitis.

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Section: Discussionmentioning

confidence: 99%