Twenty years experience with intranasal transseptal dacryocystorhinostomy

Berryhill, Bruce H.; Dorenbusch, A. A.

doi:10.1288/00005537-198204000-00004

Cited by 14 publications

(2 citation statements)

References 3 publications

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“…The intranasal approach was widely attempted in the field of otolaryngology until the 1980s, and the success rate has been reported to be 80-90%, which is comparable to the skin approach 8,9. Nevertheless, the intranasal approach has not been established as the mainstream modality.…”

Section: Discussionmentioning

confidence: 99%

Clinical Results of Endoscopic Dacryocystorhinostomy using a Microdebrider

Yoon¹,

Yoon²,

Lee³

2006

Korean J Ophthalmol

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PurposeThe success rate of endoscopic dacryocystorhinostomy has been increasing with the development of better instruments and techniques. We conducted this study to evaluate the clinical results of endoscopic dacryocystorhinostomy using a Microdebrider, which has also been used for functional endoscopic sinus surgery.MethodsWe selected 76 patients (with a total of 84 affected eyes) who had been diagnosed with a nasolacrimal duct obstruction. These patients underwent an endoscopic dacryocystorhinostomy using a Microdebrider, which removed both nasal mucosa and lacrimal sac mucosa and also trimmed the margins of the ostotomy site. We assessed patients' outcomes on an anatomical basis using a dye test and endoscopy, which were used to define the anatomical success. We also arbitrarily defined functional success as whether the subjective epiphora was absent. At a four to 18 month follow-up, we monitored the clinical course to examine any recurrent episodesResultsThe symptoms were alleviated in 72 eyes, with a primary success rate of 85.7%. On nasal endoscopy, a functional failure was seen in four eyes. In these four eyes, the orifice was narrowed by the presence of either granulation tissue or conjunctivochalasis. By contrast, surgical outcomes were the anatomical failure in eight eyes. In these eight eyes, the orifice was obstructed by the presence of granulation tissue as well as the adhesion of nasal mucosa.ConclusionsEndoscopic dacryocystorhinostomy using a Microdebrider enabled us to make the large fistula while minimizing the damage of adjacent tissue. It might be the recommended surgery that reduces the complications and enhances the success rate.

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Section: Discussionmentioning

confidence: 99%

Clinical Results of Endoscopic Dacryocystorhinostomy using a Microdebrider

Yoon¹,

Yoon²,

Lee³

2006

Korean J Ophthalmol

View full text Add to dashboard Cite

show abstract

“…Nayak et al, 1999. 16 In a study by Berryhill BH, Dorenbusch AA ; they found that in their series, Two hundred and eighty-four primary operations were performed with an 89% success. Of 29 failures, 25 were reoperated on with only 2 failures.…”

Section: Objective Assessmentmentioning

confidence: 99%