Silicone Tubing after Endoscopic Dacryocystorhinostomy: Is it Necessary?

Смирнов, Г. А.; Tuomilehto, Henri; Teräsvirta, Markku; Nuutinen, Juhani; Seppä, Juha

doi:10.2500/ajr.2006.20.2955

Cited by 56 publications

(37 citation statements)

References 19 publications

(23 reference statements)

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“…The necessity of silicone tubing after endoscopic DCR is controversial (23). In almost all past studies, however, silicone tubes were inserted after lacrimal canalicular surgery to prevent postsurgical restenosis.…”

Section: Discussionmentioning

confidence: 99%

Surgical Results of Endoscopic Dacryocystorhinostomy and Lacrimal Trephination in Distal or Common Canalicular Obstruction

Baek

Hwang

Jung

et al. 2012

Clin Exp Otorhinolaryngol

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ObjectivesTo evaluate the surgical outcomes of endoscopic dacryocystorhinostomy followed by canalicular trephination and silicone stenting in patients with distal or common canalicular obstructions.MethodsThe medical records of 29 patients (31 eyes) from January 2001 to December 2009 who underwent endoscopic dacryocystorhinostomy followed by canalicular trephination and silicone tube insertion for the treatment of distal or common canalicular obstructions were retrospectively reviewed. The level of obstruction was confirmed by intraoperative probing. The outcome of the surgery was categorized as a complete success, partial success, or failure according to the functional and anatomic patency.ResultsThe average age of the patients was 52 years. The duration of silicone intubation ranged from 4 to 11 months with an average of 5.7±1.6 months. The follow-up period after stent removal ranged from 4 to 15 months with an average of 8.2±3.3 months. Complete success was achieved in 25 out of 31 eyes (80.6%), partial success in 4 out of 31 eyes (12.9%), and failure in 2 out of 31 eyes (6.5%).ConclusionEndoscopic dacryocystorhinostomy followed by canalicular trephination and silicone stent intubation may be safe and considered as an initial treatment of patients with distal or common canalicular obstructions.

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Section: Discussionmentioning

confidence: 99%

Surgical Results of Endoscopic Dacryocystorhinostomy and Lacrimal Trephination in Distal or Common Canalicular Obstruction

Baek

Hwang

Jung

et al. 2012

Clin Exp Otorhinolaryngol

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“…Accidental or early removal of stents, prior to 2 months, has been cited as a cause for failure [21]. Other papers have shown no diVerence in outcome with or without stenting [24][25][26][27]. With this in mind, Fig.…”

Section: Discussionmentioning

confidence: 94%

Paediatric powered endonasal dacryocystorhinostomy

Al-Nuaimi

Inkster

Lobo

2011

Eur Arch Otorhinolaryngol

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Dacryocystorhinostomy (DCR) is indicated in children with persistent nasolacrimal duct obstruction (NLDO). Endoscopic endonasal DCR has been successfully performed in both adults and children, with success rates similar to that of external DCR. This paper aims to evaluate the outcomes of paediatric patients undergoing endonasal endoscopic DCR at a district general hospital. A retrospective review of all patients attending a joint lacrimal clinic undergoing endonasal endoscopic DCR between October 2001 and December 2008 was performed. Sixteen children (17 eyes) aged between 2 and 14 were analysed. The main outcome measure was resolution of symptoms. Fourteen cases (82%) presented with epiphora with or without stickiness. Three cases had recurrent dacryocystitis. Three patients had Down syndrome. There were no operative complications. During a mean post-operative period of 12 months, all but one case showed an improvement of symptoms. While 60% of the patients had a complete resolution of symptoms, the remaining were minimally symptomatic. Of those with residual symptoms, two had Down syndrome. Endonasal DCR is a safe and effective intervention for children with persistent NLDO. Success is higher in children with no craniofacial abnormality. Joint care under a consultant Oculoplastic and ENT surgeon provides optimum care for these patients.

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“…Though Smirnov [13,14] in his initial study mentioned a higher success rate with stenting, he subsequently corrected his own observations after 2 years and demonstrated that silicone stenting is unnecessary as his success rate with or without silicone tube was 78 and 100 % respectively. Unlu et al [15] further had similar results (84.2 % with stenting and 94.7 % without stenting).…”

Section: Discussionmentioning

confidence: 99%

Primary Endonasal DCR Without Stent: Our Experience and Case Series Analysis

Raghuwanshi¹,

Raghuwanshi

Agarwal³

et al. 2015

Indian J Otolaryngol Head Neck Surg

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Endonasal dacryocystorhinostomy is widely accepted and effective treatment option for nasolacrimal duct obstruction. It can be done with or without the use of stents. This study was carried out to evaluate the results of endonasal DCR surgery and to access efficacy of this procedure without stenting. This is a prospective clinical study conducted in Departments of ENT and Ophthalmology, L.N. Medical College and J.K. Hospital, Bhopal from October 2008 to April 2012. A total of 90 patients with epiphora as evidenced by nasolacrimal duct blockage on syringing were included in the study. These patients underwent endoscopic DCR without stenting. The cases were followed up to 18 months postoperative. Surgical success was defined as anatomical patency and symptomatic relief at the end of the follow up period. Failure was defined as no symptomatic relief, and/or acute dacryocystitis, and/or non patent lacrimal drainage system. Surgical success was observed in 80 of 90 (88.89 %) patients. Incidence of complication was low as only 6 patients had minor complication of bleeding, synechie and granulation tissue formation. It was concluded that high success rates could be achieved in case of nasolacrimal duct obstruction by endoscopic DCR. Thus, we can minimize complications, discomfort, the cost of stenting and follow up visits after endonasal DCR surgery.

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Silicone Tubing after Endoscopic Dacryocystorhinostomy: Is it Necessary?

Abstract: In our retrospective study no significant statistical differences were seen between the patients with stenting compared with patients without stenting. However, prospective, randomized studies are clearly needed to answer the question of whether the use of stents is advisable.

Cited by 56 publications

References 19 publications

Surgical Results of Endoscopic Dacryocystorhinostomy and Lacrimal Trephination in Distal or Common Canalicular Obstruction

Surgical Results of Endoscopic Dacryocystorhinostomy and Lacrimal Trephination in Distal or Common Canalicular Obstruction

Paediatric powered endonasal dacryocystorhinostomy

Primary Endonasal DCR Without Stent: Our Experience and Case Series Analysis

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