The Prognostic Value of Preoperative Dacryocystography in Endoscopic Intranasal Dacryocystorhinostomy

Mannor, Geva; Millman, Arthur L.

doi:10.1016/s0002-9394(14)71524-7

Cited by 104 publications

(43 citation statements)

References 12 publications

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“…Confirming the reported data, Welham et al 16 , reviewed 205 failed DCR and concluded that the main cause of failure was incomplete opening of rhinostome and Millman et al 17 observed that fibrotic sacs presented therapeutic failure in 29%, whereas sacs with mucoceles had 82% failure.…”

Section: Discussionmentioning

confidence: 85%

Dacriocistorrinostomia endoscópica

Filho¹,

Voegels

Butugan

et al. 2005

Rev. Bras. Otorrinolaringol.

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Endonasal endoscopic dacryocystorhinostomy (EN-DCR)is now a well-established procedure to relieve nasolacrimal duct obstruction, becoming its domain for the ENT surgeons indispensable. Aim: The aim of the present study is to report the experience of the Otorhinolaryngology Department of the University of São Paulo Medical School in the management of the obstruction of the drainage of the nasolacrimal system by EN-DCR, comparing with the results in literature. Study design: clinical retrospective. Material and Method: We reviewed the medical records of 17 patients (17 eyes) that were submitted to EN-DCR between april 2001 and july 2004. We analysed: sex, age at the time of diagnosis, etiology, clinical findings, surgical technique, use of silicone tubes, follow-up and complications. Results: Eight men and nine women, the age range was from 29 to 79 years (mean 42.6413.1 years), mean follow-up time: 15 months, presented a lacrimal clinic with epiphora. Powered DCR was performed in 06 cases and YAG LASER in 01 patient. Silicone tubes were used in all cases and left in place mean 7.9 weeks. The surgical success rate was 82,3%. Conclusion: EN-DCR showed one safe technique, with advantages in relation to the external technique. So ophthalmologists and ENT physicians must work in harmony to offer more benefits to its patients.

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Section: Discussionmentioning

confidence: 85%

Dacriocistorrinostomia endoscópica

Filho¹,

Voegels

Butugan

et al. 2005

Rev. Bras. Otorrinolaringol.

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“…rülmüşse de laser DSR başarı oranlarının diğer yön-temlerden farklı olmadığı bilinmektedir. 10,11 Laser ve endoskopik yöntemin beraber kullanıldığı Robert ve ark.nın çalışmasında başarı oranı %89'dur. 12 Bu çalışmada soğuk bıçak, keski ve çekiç kullanıl-mıştır.…”

Section: Discussionunclassified

Our Results of Endoscopic Dacryocystorhinostomy and Silicone Tube Intubation: Results of a Case Series

Başal¹,

Ünsal²,

Günel³

et al. 2014

Turkish J Rhinology

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Ö ÖZ ZE ET T A Am ma aç ç: : Bu çalışmada kronik dakriyosistit nedeni ile endoskopik dakriyosistorinostomi (DSR) ameliyatı yapılarak silikon stent uygulanan hastaların sonuçları tartışıldı ve literatür gözden geçirildi. G Ge er re eç ç v ve e Y Yö ön nt te em ml le er r: : Şubat 2010-Mayıs 2013 tarihleri arasında endoskopik DSR ameliyatı yapılan 46 hasta ameliyat başarısı ve komplikasyonlar açısından retrospektif olarak değerlendirildi. Postoperatif dönemde semptomlarda tam düzelme, lakrimal lavaj ile açıklığın gösterilmesi ve endoskopik muayenede rinostomiden gözyaşı akışının görülmesi durumunda ameliyat başarılı kabul edildi. B Bu ul lg gu ul la ar r: : Hastaların 13'ü erkek, 33'ü kadındı. Hastalar 17-92 yaş aralığındaydı, ortalama yaş 64,6±13,7 yıl idi. Olguların 35'i unilateral, 11'i bilateral olarak ameliyat edildi. Hastaların 4'ü daha önce DSR ameliyatı geçirmiş revizyon olgulardı. Ameliyatlar 3 hastada lokal anestezi ile, diğerlerinde ise genel anestezi ile yapıldı. Tüm hastalara bikanaliküler silikon stent uygulandı. 15 sağ taraf, 20 sol taraf ve 11 bilateral olgu vardı. Cerrahi sonrası 1. hafta, 1, 3, 6. ay ve yıllık takipler düzenli olarak gerçekleşti-rildi. Takip süresi en az 6 ay en çok 45 ay idi. Ameliyat edilen primer olgulardan 3 tanesine revizyon cerrahisi gerekti. Bir yıl boyunca takip edilen 57 gözün 52'sinde yakınmalar düzelirken 5 olguda düzelme olmadı. En sık görülen komplikasyonlar; minimal kanama, granülasyon dokusu ve tüp prolapsusu idi. 1 olguda majör kanama, 3 olguda hava reflüsü ve 2 olguda sineşi saptandı. S So on nu uç ç: : Endoskopik DSR ve silikon stent uygulaması yüksek başarı, düşük komplikasyon oranlarıyla kronik dakriyosistite bağlı epiforalı hastalarda primer tercih edilebilecek bir cerrahi yöntemdir.A An na ah ht ta ar r K Ke el li im me el le er r: : Dakriyosistit; dakriyosistorinostomi; nazolakrimal kanal A AB BS ST TR RA AC CT T O Ob bj je ec ct ti iv ve e: : We evaluated the results of cases that underwent endoscopic dacryocystorhinostomy (DCR) with silicone stent due to chronic dacryocystitis and previous studies were rewived. M Ma at te er ri ia al l a an nd d M Me et th ho od ds s: : Fourtysix patients who underwent endoscopic DCR between February 2010-May 2013, were evaluated to surgery results and complications retrospectively. If symptoms resolved completely, rhinostomy was open with lacrimal lavage and tears flow was seen with endoscopically in postoperative period, surgery was considered as successful. R Re es su ul lt ts s: : Thirteen of the patients were male and 33 were female. The patients ranged from 17-92 years of age, the average age was 64,6±13,7. Thirty-five of the patients were operated bilaterally and 11 of them were operated unilaterally. Four of the patients had previously undergone revision DCR surgery. Surgery was performed under local anesthesia in 3 patients and the others were performed under general anesthesia. Bicanalicular silicone stents were applied to all of the patients. Fifteen the right side, 20 left side and 11 bilateral patient were op...

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“…Endonasal DCR's may lead to patency rates of 83-96% [4,5]. Mannor et al [6] reported a success rate of 80% with EDCR's done on normal or enlarged sacs and a 75-97% success rate was achieved by Hartikainen et al [7].…”

Section: Discussionmentioning

confidence: 99%