Surgical outcomes of endoscopic dacryocystorhinostomy: analysis of age effect

Sung, Jae Yun; Lee, Yeon Hee; Kim, Kyoung Nam; Kang, Tae Seen; Lee, Seung-Bok

doi:10.1038/s41598-019-56491-y

Cited by 22 publications

(20 citation statements)

References 24 publications

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“…In this study, age and history of diabetes mellitus were significantly related to functional failure. This functional failure in elderly patients may also be associated with age-related Effect of age on endoscopic dacryocystorhinostomy P a g e | 698 changes in the eyelid [9]. In our study, the functional failure rate was 10.3%, similar to the literature.…”

Section: Discussionsupporting

confidence: 88%

“…Due to rapid advancements in endoscopic surgical instruments, comparable success rates with the external method, and other favorable features, EDCR gained popularity over the years. Anatomical success rates in EDCR range from 84 to 95% [9][10][11][12][13]. In our study, our anatomical success rate was 92,7% similar to the literature.…”

Section: Discussionsupporting

confidence: 88%

“…In our study, our anatomical success rate was 92,7% similar to the literature. Various factors that might influence the success of EDCR are largely investigated [9,13,14]. However, the effect of age on EDCR outcomes remains to be clarified and not much data is available.…”

Section: Discussionmentioning

confidence: 99%

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Comparable anatomical and functional success to younger patients in endoscopic dacryocystorhinostomy patients of older age

Erkan¹,

Çikrikci²,

Ağdaş³

2021

Journal of Surgery and Medicine

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Section: Discussionsupporting

confidence: 88%

Section: Discussionsupporting

confidence: 88%

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Comparable anatomical and functional success to younger patients in endoscopic dacryocystorhinostomy patients of older age

Erkan¹,

Çikrikci²,

Ağdaş³

2021

Journal of Surgery and Medicine

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“…All operations were performed under general anesthesia by a single experienced surgeon (S.B.L). EnDCR was performed using the technique previously described in [ 12 ]. The nasal mucosa was decongested by packing it with 1:10,000 epinephrine-soaked gauze.…”

Section: Methodsmentioning

confidence: 99%

Optimal Timing for Primary Early Endoscopic Dacryocystorhinostomy in Acute Dacryocystitis

Sung

Kim

Hwang

et al. 2021

JCM

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Purpose: To evaluate the surgical outcomes of primary early endoscopic dacryocystorhinostomy (EnDCR) in acute dacryocystitis (AD) and to determine the optimal timing for surgery. Methods: A retrospective review of medical records was performed on consecutive patients who underwent primary early EnDCR (within 1 week) for AD between May 2010 and June 2020 (AD group) and an age- and gender-matched control group of NLDO patients who underwent EnDCR (non-AD group). The primary outcome measures were the surgical outcomes at the final follow-up examination. The secondary outcome measure was the clinical course of AD patients. Subgroup analysis was performed to determine the optimal timing of surgery by comparing the outcomes of very early EnDCR (within 3 days) and those of early EnDCR (between 4 and 7 days). Results: Forty-one patients were included in the AD group and 82 patients in the non-AD group. The anatomical and functional success rates were 87.8% and 82.9% in the AD group, and 91.5% and 84.1% in the non-AD group, which were not significantly different between the two groups (p = 0.532 and p = 0.863). In the AD group, the mean times for pain relief and resolution of swelling after surgery were 2.4 and 6.5 days after surgery, respectively. In the subgroup analysis according to the timing of surgery, the time for symptom resolution after diagnosis, the length of hospital stays, and the duration of antibiotic treatments were significantly shorter after very early EnDCR (all ps < 0.05), whereas the surgical outcomes were not different between the two groups (p = 1.000). Conclusions: Primary early EnDCR is a safe and effective procedure for the treatment of AD. In particular, very early EnDCR performed within 3 days leads to faster recovery and shortens the course of antibiotic treatment.

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“…EnDCR was performed using the technique previously descried. 12 The nasal mucosa was decongested by packing with 1:10,000 epinephrineoaked gauze. The upper punctum was dilated and a 23-gauge vitrectomy illuminator was inserted through the upper canaliculus into the lacrimal sac.…”

Section: Surgical Techniquementioning

confidence: 99%

Optimal Timing for Primary Early Endoscopic Dacryocystorhinostomy in Acute Dacryocystitis

Sung

Kim

Hwang

et al. 2021

Preprint

Self Cite

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Purpose: To evaluate the surgical outcomes of primary early endoscopic dacryocystorhinostomy (EnDCR) in acute dacryocystitis (AD) and to determine the optimal timing for surgery.Methods: A retrospective review of the medical records was performed on consecutive patients who underwent primary early EnDCR (within 1 week) for AD between May 2010 and June 2020 (AD group) and age- and gender-matched control group of NLDO patients who underwent EnDCR (non-AD group). The primary outcome measures were surgical outcomes at the final follow-up examination. The secondary outcome measure was clinical course of AD patients. Subgroup analysis was performed to determine the optimal timing of surgery by comparing outcomes of very early EnDCR (within 3 days) and those of early EnDCR (between 4 and 7 days).Results: Forty-one patients were included in the AD group and 82 patients in the non-AD group. The anatomical and functional success rates were 87.8% and 82.9% in the AD group, and 91.5% and 84.1% in the non-AD group, which were not significantly different between the two groups (p = 0.532 and p = 0.863). In the AD group, the mean times for pain relief and resolution of swelling after surgery were 2.4 and 6.5 days after surgery. In subgroup analysis according to the timing of surgery, the time for symptom resolution after diagnosis, the length of hospital stay, and the duration of antibiotics treatment were significantly shorter after very early EnDCR (all ps < 0.05), whereas the surgical outcomes were not different between the 2 groups (p = 1.000)Conclusions: Primary early EnDCR is a safe and effective procedure for the treatment of AD. In particular, very early EnDCR, performed within 3 days, leads to faster recovery and shortens the course of antibiotic treatment.

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Surgical outcomes of endoscopic dacryocystorhinostomy: analysis of age effect

Cited by 22 publications

References 24 publications

Comparable anatomical and functional success to younger patients in endoscopic dacryocystorhinostomy patients of older age

Comparable anatomical and functional success to younger patients in endoscopic dacryocystorhinostomy patients of older age

Optimal Timing for Primary Early Endoscopic Dacryocystorhinostomy in Acute Dacryocystitis

Optimal Timing for Primary Early Endoscopic Dacryocystorhinostomy in Acute Dacryocystitis

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