The Effectiveness of Postoperative Early Ostium Cleaning in Transcanalicular Diode Laser–Assisted Dacryocystorhinostomy

Yener, Halil İbrahim; Gül, Adem; Özçimen, Muammer

doi:10.1097/iop.0000000000000137

Cited by 13 publications

(6 citation statements)

References 25 publications

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“…They noted that reasons for the high success rate included only minor wound complications due to the advantage of the direct visualization of the operation site, adequate osteotomy size, and a smooth anastomosis between the nasal mucosa and lacrimal sac. This study examined the long-term results of 2 previous DCR studies (20,21). In the EX-DCR study, the 6-month success was 97.4%, and it declined to 93.2% in the 8th year.…”

Section: Discussionmentioning

confidence: 99%

Long-TemM Results in Transcanalicular Laser and External Dacryocystorhinostomy

Yener¹

2019

Beyoglu Eye J

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This study was an examination of the long-term results of transcanalicular laser (TCL) and external (EX) dacryocystorhinostomy (DCR). Methods: Patients who had undergone TCL-DCR or EX-DCR between 2009 and 2013 were invited for long-term follow-up in 2019. All of the patients who responded had an ophthalmic examination and were assessed using lacrimal irrigation. An intranasal evaluation was performed when the irrigation test had non-patent results. TCL procedures were performed with a diode laser (980 nm). Ostium cleansing with a suction unit and a nasal endoscope was performed in the first week. In EX-DCR procedures, an anterior flap was created and tented to the orbicularis oculi muscle. A silicon tube was implanted in both methods and removed at 4-6 months. Results: A total of 74 EX-DCR patients were assessed. The lacrimal irrigation test was negative in 5 cases. The functional success rate was 93.2% with a follow-up of 8 years. A total of 63 patients who had undergone TCL-DCR were evaluated and the irrigation test was negative in 9 patients. The functional success rate was 85.7% with a follow-up of 7 years. The difference in the success rate was statistically insignificant with a p value of 0.09. Conclusion:The long-term success rates of both EX-DCR and TCL-DCR were high.

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Section: Discussionmentioning

confidence: 99%

Long-TemM Results in Transcanalicular Laser and External Dacryocystorhinostomy

Yener¹

2019

Beyoglu Eye J

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“…As we know, the surgical success of this type of DCR is lower than that of EXT-DCR and endonasal DCR (20) ; however, some technical modifications have been incorporated into T-DCR in order to improve its success rate. These changes include early cleaning of the surgical ostium (21) , the use of the laser at a low energy output (22) , the creation of larger nasal ostium (14) , applications on patients older than 45 years (5) , the use of mitomycin C in the rhinostomy (23,24) and nasal mucosa blade excision prior to laser osteotomy to avoid thermal injury (25) .…”

Section: Discussionmentioning

confidence: 99%

Fluorescein transit test time as a tool to assess lacrimal pump function after diode laser transcanalicular dacryocystorhinostomy and external dacryocysto-rhinostomy

Feijó¹,

Limongi

Matayoshi

2018

Rhin

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“…Surgical ostium and lacrimal fistula can be obstructed because mucosal flaps cannot be created in laser DCR. Recently, surgeons have tried methods such as the use of low energy lasers [ 10 , 12 ], early cleaning of the surgical ostium [ 17 ], surgical ostium mitomycin C (MMC) application [ 15 , 18 ], and laser-assisted dacryocystorhinostomy with endonasal augmentation with punch [ 9 , 19 , 20 ] to decrease fibrous scar formation. Along with photothermal damage caused by the laser, increased fibroblastic activity in the nasal mucosa [ 21 ], scar formation and narrowing in the ostium can be observed.…”

Section: Discussionmentioning

confidence: 99%

Comparison of outcomes of conventional transcanalicular laser dacryocystorhinostomy and modified transcanalicular laser dacryocystorhinostomy.

Nacaroğlu

Öğreden²,

Yilmaz

et al. 2018

Videosurgery and Other Miniinvasive Techniques

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IntroductionTranscanalicular laser DCR (TL-DCR) approaches have been developed for the formation of a fistula between the nasal cavity and the lacrimal sac to ensure the continuity of the lacrimal drainage system over the years. However, the success rate of TL-DCR has varied widely.AimTo evaluate and compare the success rates of conventional transcanalicular multidiode laser dacryocystorhinostomy and modified transcanalicular multidiode laser dacryocystorhinostomy.Material and methodsNinety-one eyes of 91 adult patients admitted with epiphora and diagnosed with chronic dacryocystitis were included in the study. The participants were divided into two groups. Group 1 consisted of 55 patients who were treated with conventional transcanalicular laser dacryocystorhinostomy. Group 2 consisted of 36 patients to whom the same surgical procedure was applied with the difference of nasal mucosa excision prior to laser osteotomy. The groups’ intraoperative surgical ostium size, perioperative and postoperative complications, operative times and success rates were compared.ResultsThe mean follow-up periods for each group were 8.88 ±2.99 months and 10.28 ±4.47 months, respectively (p = 0.077). Intraoperative mean surgical ostium sizes were 31.85 ±14.98 mm2 and 42.25 ±18.09 mm2, respectively (p = 0.004). The mean operation time in group 1 was significantly shorter compared to group 2 (18.55 ±4.05 min and 24.44 ±3.18 min, respectively, p = 0.0001). The overall success rate was 65.45% in group 1 and 75.00% in group 2 (p = 0.335).ConclusionsAlthough the surgical ostium area was significantly greater in group 2, there was no significant difference in surgical success and patient satisfaction rates between the two groups.

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The Effectiveness of Postoperative Early Ostium Cleaning in Transcanalicular Diode Laser–Assisted Dacryocystorhinostomy

Abstract: Postoperative first week cleaning of the nasal ostium by surgical suction with the aiding of nasal endoscopy is a very effective method increasing the success rate of TDL-DCR.

Cited by 13 publications

References 25 publications

Long-TemM Results in Transcanalicular Laser and External Dacryocystorhinostomy

Long-TemM Results in Transcanalicular Laser and External Dacryocystorhinostomy

Fluorescein transit test time as a tool to assess lacrimal pump function after diode laser transcanalicular dacryocystorhinostomy and external dacryocysto-rhinostomy

Comparison of outcomes of conventional transcanalicular laser dacryocystorhinostomy and modified transcanalicular laser dacryocystorhinostomy.

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