Journal ArticleDOI
Prospective comparison of 3 dacryocystorhinostomy surgeries: external versus endoscopic versus transcanalicular multidiode laser.
Melike Balikoglu-Yilmaz,Tolga Yilmaz,Umit Taskin,Muhittin Taskapili,Mehmet Akcay,M. Faruk Oktay,Saban Eren +6 more
TLDR
External DCR, EN-DCR, and TC-D CR had similar success and complication rates in patients with primary acquired nasolacrimal duct obstruction and Transcanalicular DCR appeared to be effective with the shortest surgical time.Abstract:
PURPOSE To analyze the clinical outcomes of external (EX-), endoscopic (EN-), and transcanalicular multidiode laser (TC-) with dacryocystorhinostomy (DCR). METHODS Ninety-two patients with primary acquired nasolacrimal duct obstruction were enrolled (divided into EX-DCR [n = 33], EN-DCR [n = 30], and TC-DCR groups [n = 29]) in this prospective study. Primary outcome measures were the anatomical and functional success of operations at the last control examination. Secondary outcome measures were the ostium size, surgical time, and complications. RESULTS The difference in mean surgical time among the 3 groups was statistically significant (p < 0.0001). External DCR required the longest surgical time (46.6 ± 15.3 minutes), while TC-DCR was the shortest (20.3 ± 7.7 minutes). There were no significant differences between the groups regarding anatomical (81.8%, 75.9%, and 76.7% in EX-, EN-, and TC-DCR groups, respectively; p = 0.824) and functional success rates (81.8%, 72.4%, and 73.3% in EX-, EN-, and TC-DCR groups, respectively; p = 0.626). Final ostium size was the largest with EX-DCR (33.7 ± 17.4 mm) and smallest with EN-DCR (19.0 ± 8.9 mm; p = 0.001). The complication rate was similar in all groups. The most common complications were the formation of granulation tissue (16.3%) and intranasal synechiae (9.8%), all of which led to surgical failure and were more frequent in the EN- and TC-DCR groups. CONCLUSIONS External DCR, EN-DCR, and TC-DCR had similar success and complication rates in patients with primary acquired nasolacrimal duct obstruction. External DCR resulted in the largest ostium size. Transcanalicular DCR appeared to be effective with the shortest surgical time.read more
Citations
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Journal ArticleDOI
Endonasal versus external dacryocystorhinostomy for nasolacrimal duct obstruction
TL;DR: This review compared the success rates of endonasal DCR with that of external DCR to be very low-certainty, downgrading for risk of bias, imprecision and inconsistency.
Journal ArticleDOI
Etiologic analysis of 100 anatomically failed dacryocystorhinostomies.
TL;DR: Inadequate osteotomy, incomplete sac marsupialization, and cicatricial closure of the ostium were the most common causes of failure and did not significantly differ in the external and endoscopic groups.
Journal ArticleDOI
Cause and Management of Patients With Failed Endonasal Dacryocystorhinostomy.
TL;DR: This retrospective review included 61 patients who had undergone revision surgery by the same surgeon after failed endonasal DCR between January 2008 and December 2012 and found the most common cause was membranous obstruction.
Journal ArticleDOI
Failure in Revision Dacryocystorhinostomy: A Study of Surgical Technique and Etiology.
TL;DR: Inadequate ostium size was the most common cause of failure in primary external, endonasal, and laser DCR, and Canalicular or common canalicular obstruction, intranasal pathology, and bilateral lacrimal obstruction were significant predictors ofFailure in revision external DCR.
Journal ArticleDOI
Revision External Dacryocystorhinostomy Results After a Failed Dacryocystorhinostomy Surgery.
TL;DR: The rE-DCR procedure has high success rates for failed DCR surgeries, whichever procedure was performed and patients had no complaints, and their passages were open.
References
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Journal ArticleDOI
Endoscopic transnasal dacryocystorhinostomy
Mike McDonogh,J. H. Meiring +1 more
TL;DR: The rigid Hopkins endoscope has been applied to simplify the operation of dacryocystorhinostomy, preventing unnecessary trauma to the medial orbital tissues.
Journal ArticleDOI
Endonasal dacryocystorhinostomy: a report by the American Academy of Ophthalmology.
John J. Woog,Robert H. Kennedy,Philip L. Custer,Sara A. Kaltreider,Dale R. Meyer,Jorge G. Camara +5 more
TL;DR: Based on level III evidence, the available data suggest that endonasal DCR may be a viable option for the correction of acquired nasolacrimal duct obstruction and complex forms of congenital dacryostenosis in selected patients.
Journal ArticleDOI
Prospective randomized comparison of external dacryocystorhinostomy and endonasal laser dacryocystorhinostomy
TL;DR: The extension of endonasal laser dacryocystorhinostomy, when compared with ENL-DCR, seems to provide superior operation results in primary acquired nasolacrimal duct obstruction.
Journal ArticleDOI
Study of Intranasal Ostium External Dacryocystorhinostomy
TL;DR: A rigid endoscope was used to directly examine, measure, and photograph the intranasal ostium created by an external dacryocystorhinostomy (DCR).
Journal ArticleDOI
Dacryocystorhinostomy with intraoperative mitomycin C.
TL;DR: Intraoperative mitomycin C is effective in maintaining a larger osteotomy size and may possibly improve success rates over the traditional dacryocystorhinostomy procedure.