DOI: https://dx.doi.org/10.18203/issn.2454-5929.ijohns20220139
Published: 2022-01-25

A study of clinical profile of patients undergoing endonasal endoscopic dacryocystorhinostomy without stenting in a teaching hospital of Western Gujarat

Rashmi Sorathiya, Nisarg Desai, Narendra Hirani, Ajeet Kumar Khilnani, Ronak Bodat, Neha Karathia

Abstract


Background: Chronic dacryocystitis is commonly treated with dacryocystorhinostomy (DCR). The aim of the study was to analyzed the clinical profile of patients suffering from distal Nasolacrimal duct (NLD) blockage and outcomes of EnDCR without stenting in patients with chronic dacryocystitis. 

Methods: This prospective observational study consisted of 50 patients who underwent EnDCR without stenting at ENT department of Gujarat Adani Institute of Medical Sciences during the period of October 2019 to September 2021, after taking IEC consent. All patients with distal NLD blockage were included in study. Pre-operative, intra-operative and post-operative details were recorded as per pre-validated proforma and data was analyzed using Microsoft excel sheets.

Results: Watery discharge from eye was most common chief complaint (76%) during presentation followed by watery discharge and swelling over medial end of eye both (20%) and swelling over medial end of one eye (4%). Most common duration of chief complaint was between 3 to 12 months. In our study, out of 50 patients, 31 cases were operated under local anesthesia and 19 were operated under general anesthesia. Out of 50 operated cases, only 3 patients had stenosis of ostium at 3-month follow-up. Overall success rate of endoscopic endonasal DCR without stenting was 94%.

Conclusions: The success rate of endonasal dacryocystorhinostomy without stenting is as high as that of external dacryocystorhinostomy and endonasal DCR with stenting without the disadvantages of either one. 


Keywords


Chronic dacryocystitis, DCR, Endoscopic DCR

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References


Linberg JV, McCormick SA. Primary acquired nasolacrimal duct obstruction. A clinicopathologic report and biopsy technique. Ophthalmology. 1986;93(8):1055-63.

Groessl SA, Sires BS, Lemke BN. An anatomical basis for primary acquired nasolacrimal duct obstruction. Arch Ophthalmol. 1997;115(1):71-4.

Groessl SA, Sires BS, Lemke BN. An anatomical basis for primary acquired nasolacrimal duct obstruction. Arch Ophthalmol. 1997;115(1):71-4.

Donogh M, Meiring JH. Endoscopic transnasal dacryocystorhinostomy. J Laryngol Otol. 1989;103(6):585-7.

Dogan R, Meric A, Ozsütcü M, Yenigun A. Diode laser-assisted endoscopic dacryocystorhinostomy: a comparison of three different combinations of adjunctive procedures. Eur Arch Otorhinolaryngol. 2013;270(8):2255-61.

Coumou AD, Genders SW, Smid TM, Saeed P. Endoscopic dacryocystorhinostomy: long-term experience and outcomes. Acta Ophthalmol. 2017;95(1):74-8.

Trimarchi M, Giordano RA, Vinciguerra A, Danè G, Bussi M. Dacryocystorhinostomy: Evolution of endoscopic techniques after 498 cases. Eur J Ophthalmol. 2020;30(5):998-1003.

Balaji SM, Balaji P. Epiphora drainage by DCR - Long-term results. Indian J Dent Res. 2019;30(3):337-41.

Keren S, Abergel A, Manor A, Rosenblatt A, Koenigstein D, Leibovitch I, Ben Cnaan R. Endoscopic dacryocystorhinostomy: reasons for failure. Eye (Lond). 2020;34(5):948-53.

Wormald PJ, Kew J, Hasselt CA. The intranasal anatomy of the nasolacrimal sac in endoscopic dacryocysto rhinostomy. Otolaryngol Head Neck Surg. 2000;123:307-10.

Zílelíoğlu G, Tekeli O, Uğurba SH, Akiner M, Aktürk T, Anadolu Y. Results of endoscopic endonasal non-laser dacryocystorhinostomy. Doc Ophthalmol. 2002;105(1):57-62.

Vinciguerra A, Nonis A, Giordano RA, Ali MJ, Bussi M, Trimarchi M. Role of anaesthesia in endoscopic and external dacryocystorhinostomy: A meta-analysis of 3282 cases. Eur J Ophthalmol. 2021;11206721211035616.

Sheikh S, Vaze VV, Bajaj A. Merits of Kerrisons punch over powered drill in endonasal DCR. Int J Otorhinolaryngol Head Neck Surg. 2019;5(2):387.

Chin J, Lam V, Chan R, Li CL, Yeung L, Law A, et al. Comparative study of stenting and ostium packing in Endoscopic Dacryocystorhinostomy for Primary Acquired Nasolacrimal Duct Obstruction. Sci Rep. 2020;10(1):46.

Shah CP, Santani D. A comparative bacteriological profile and antibiogram of dacryocystitis. Nepal J Ophthalmol. 2011;3(2):134-9.

Cavaliere M, Luca P, Scarpa A. Longitudinal randomized study to evaluate the long-term outcome of endoscopic primary dacryocystorhinostomy with or without silicone tube. Eur Arch Otorhinolaryngol. 2021.

Callejo FJ, Azpilicueta M, García R. Factors involved in the success and failure of endoscopic dacryocystorhinostomy from our experience. Acta Otorrinolaringol. 2021.

Longari F, Dehgani MP, Ricci AL, Lapenna R, Cagini C, Ricci G. Endoscopic dacryocystorhinostomy with and without silicone intubation: 4 years retrospective study. Eur Arch Otorhinolaryngol. 2016;273(8):2079-84.

Mohamad SH, Khan I, Shakeel M, Nandapalan V. Long-term results of endonasal dacryocystorhinostomy with and without stenting. Ann R Coll Surg Engl. 2013;95(3):196-9.

Das SK, Sarkar P, Dan A, Boral K, Basak B, Banerjee SN. Endoscopic Dacryocystorhinostomy: A Study at IPGMER, Kolkata. Indian J Otolaryngol Head Neck Surg. 2013;65(2):366-70.