Endonasal dacryocystorhinostomy without stents: our experience
DOI:
https://doi.org/10.18203/issn.2454-5929.ijohns20173123Keywords:
Endoscopic endonasal dacryocysto- rhinostomy, External DCR, DacryocystitisAbstract
Background: Dacryocystorhinostomy (DCR) for the treatment of nasolacrimal duct obstruction. The aims of the study were to assess the patency rate of endoscopic (ED DCR) using a technique similar to that described by McDonogh and Meiring but without the use of nasolacrimal silicone stents.
Methods: Endonasal dacryocysto-rhinostomies (ED DCRs) were performed without the use of silicone stents in 46 patients (20 male, 26 female). These patients were followed up for an average of eight months.
Results: The procedure was successful in 86.95% of cases as measured by patient’s relief of symptoms and endoscopic visualization of a middle meatal ostium draining the lacrimal sac.
Conclusions: In our study ED DCR without stents had less complications and also a success rate of 86.95% achieved when compared with DCR with stents.
References
Toti A. Nuovo metodo conservatore di cura radicale delle suppurazioni croniche del sacco lacrimale. Clinica Moderna. 1904;10:385.
Caldwell G. Two new operations for obstruction of the nasal duct, with preservation of the canaliculi, and with an incidental of a new lacrymal probe. Am J ophthalmol. 1893;10:189-93.
McDonogh M, Meiring JH. Endoscopic transnasal dacryocystorhinostomy. Laryngolotol. 1989;100:585-7.
Massaro BM, Gonnering RS, Harris GJ. Endonasal laser dacryocystorhinostomy. A new approach to nasolacrimal duct obstruction. Arch Ophthalmol 1990;108(8):1172-6.
Gonnering RS, Lyon DB, Fisher JC. Endoscopic laserassisted lacrimal surgery. Am J Ophthalmol 1991;111(2):152-7.
Patel BC, Phillips B, McLeish WM, Flaharty P, Anderson RL. Transcanalicular neodymium: YAG laser for revision of dacryocystorhinostomy. Ophthalmology. 1997;104(7):1191-7.
Mntynen J, Yoshitsugu M, Rautiainen M. Results of dacryocystorhinostomy in 96 patients. Acta Otolaryngol Suppl. 1997;529:187-9.
Reifler DM. Results of endoscopic KTP laser-assisted dacryocystorhinostomy. Ophthal Plast Reconstr Surg. 1993;9(4):231-6.
Allen K, Berlin AJ. Dacryocystorhinostomy failure: association with nasolacrimal silicone intubation. Ophthalmic Surg. 1989;20(7):486-9.
Anderson RL, Edwards JJ. Indications, complications and results with silicone stents. Ophthalmology. 1979;86(8):1474-87.
Onerci M, Orhan M, Ogretmenoğlu O, Irkeç M. Long-term results and reasons for failure of intranasal endoscopic dacryocystorhinostomy. Acta otolaryngol. 2000;120:319-22.
Smirnov G, Tuomilehto H, Teräsvirta M, Nuutinen J, Seppä J. Silicone tubing is not necessary after primary endoscopic dacryocystorhinostomy:A prospective randomized study. Am J Rhinol. 2008;22:214-7.
Yigit O, Samancioglu M, Taskin U, Ceylan S, Eltutar K, Yener M. External and endoscopic dacryocystorhinostomy in chronic dacryocystitis: comparison of results. Eur Arch Otorhinolaryngol. 2007;264:879-85.
Feretis M, Newton JR, Ram B, Green F. Comparison of external and endonasal dacryocystorhinostomy. J laryngol Otol. 2009;123:315-9.
Demarco R, Strose A, Araújo M, Valera FC, Moribe I, Anselmo-Lima WT. Endoscopic revision of external dacryocystorhinostomy. Otolaryngol head neck Surg. 2007;137:497-9.
Nussbaumer M, Schreiber S, Yung MW. Concomitant nasal procedures in endoscopic dacryocystorynostomy. J Laryngol Otol. 2004;118:267-9.
Umapathy N, Kalra S, Skinner DW, Dapling RB. Long-term result of endonasal laser dacryocystorhinostomy. Otolaryngol Head Neck Surg. 2006;135:81-4.
Ajalloueyan M, Fartookzadeh M, Parhizgar H. Use of laser for dacryocystorhinostomy. Arch Otolaryng Head Neck Surg. 2007;133:340-3.
Mann BS, Wormald PJ. Endoscopic assessment of the dacryo-cystorhinostomy ostium after endoscopic surgery. Laryngoscope. 2006;116:1172-4.
Allen K, Berlin AJ. Dacryocystorhinostomy failure: association with nasolacrimal silicone intubation. Ophtalmic Surg. 1989;20:486-9.
Kim NJ, Kim JH, Hwang SW, Choung HK, Lee YJ, Khwarg SI. Lacrimal silicone intubation for anatomically successful but functionally failed external dacryocystorhinostomy. Kor J Ophthalmol. 2007;21:70-3.
Unlu HH, Gunhan K, Baser EF, Songu M. Long-term results in endoscopic dacryocystorhinostomy:Is intubation really re-quired? Otolaryngol Head Neck Surg. 2009;140:589-95.
Unlu HH, Toprak B, Aslan A, Guler C. Comparison of surgical outcomes in primary ndoscopic dacryocystorhinostomy with and without silicone intubation. Ann Otolrhinol Laryngol. 2002;111:704-9.
