Endoscopic Revision of External Dacryocystorhinostomy

OBJECTIVES: To observe the benefit of endoscopic surgery for the treatment of lacrimal duct obstruction in revisional surgeries after external dacryocystorhinostomy. STUDY DESIGN AND SETTING: Retrospective nonrandomized study. Eleven cases of recurrent lacrimal duct obstruction after external dacryocystorhinostomy were submitted to endoscopic dacryocystorhinostomy. RESULTS: The rate of success after revisional surgery was 90.9%. The major causes of failure of the external approach were the presence of granulation tissue, septal deviations and synechiae near the opening of the fistula, inadequate removal of the bony wall adjuvant the lacrimal sac, technical error in the localization of the lacrimal sac, and excessive perioperative bleeding that impaired the surgical field. CONCLUSION: Endoscopic dacryocystorhinostomy in revisional cases proved to be a safe technique of low morbidity, permitting effective resolution of the lacrimal obstructions. SIGNIFICANCE: Endoscopic surgery allows greater visibility of the lacrimal sac and its neighbor anatomic alterations and leads to better results.

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Stent technique for endoscopic dacryocystorhinostomy – Our expertise

Romanian Journal of Rhinology ◽

10.1515/rjr-2016-0003 ◽

2016 ◽

Vol 6 (21) ◽

pp. 23-27

Author(s):

Vlad Budu ◽

Tatiana Decuseara ◽

Bogdan Mocanu ◽

Raluca Baican ◽

Mihai Tusaliu ◽

...

Keyword(s):

Success Rate ◽

Lacrimal Sac ◽

Lacrimal Duct ◽

Bottom Edge ◽

Duct Obstruction ◽

Endoscopic Dacryocystorhinostomy ◽

Lacrimal Apparatus ◽

The Mean ◽

Surgery Department ◽

The Ideal

Abstract BACKGROUND. Endoscopic dacryocystorhinostomy is known to be the ideal treatment for saccal and postsaccal stenosis of the lacrimal apparatus. Following this surgery, an important inconvenient would be the stenosis of the created ostium with consecutive epiphora. MATERIAL AND METHODS. 20 patients with chronic unilateral lacrimal duct obstruction were operated in “Prof. Dr. D. Hociota” Institute of Phono-Audiology and Functional ENT Surgery, Department I, between January 2015 and July 2015. After creating the dacryocystorhinostoma, a stent was inserted transnasally to the bottom edge of the lacrimal sac and positioned to the bony margin of the ostium. Stents used varied in size from 1 to 3 mm in diameter. We followed-up our patients at 2 weeks and 1, 3, 6 months, assessing the symptoms of the lacrimal apparatus, especially the epiphora. RESULTS. The mean age of patients varied between 31 and 65. Most of our patients were women (n=14). In a total number of 16 patients epiphora disappeared, it decreased in 2 patients, and persisted in 2 patients. There were two patients with no changes who have spontaneously eliminated the stent 2 or 3 days after the surgery. The most widely used stent size was 3 mm diameter, with a success rate of 90%. CONCLUSION. The endoscopic approach may be an effective procedure in patients with pathologies of the lacrimal apparatus. In order to achieve an efficient result, both a preoperative rigorous preparation and also postoperative medical care are necessary. In conclusion, ostium stenting represents a better way to ensure a longer period of maintaining the permeability of the lacrimal apparatus.

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Management of Failed external Dacryocystorhinostomy Using endoscopic technique

10.21203/rs.2.18085/v1 ◽

2019 ◽

Author(s):

Bo Yu ◽

Yunhai Tu ◽

Yuanfei Ji ◽

Yu Xia ◽

Wencan Wu

Keyword(s):

Revisional Surgery ◽

Middle Turbinate ◽

Lateral Wall ◽

Good Choice ◽

Endoscopic Technique ◽

External Approach ◽

Lacrimal Sac ◽

External Dacryocystorhinostomy ◽

Rate Of Success ◽

Causes Of Failure

Abstract Backgrounds: The aim of this work is to demonstrate the outcomes of En-DCR which was performed in patients with recurrent epiphora after failed Ex-DCR and analyze the causes of failed Ex-DCR.Methods: From September 2015 and December 2017, 29 cases suffered from recurrent epiphora after failed Ex-DCR were reviewed. Outcome of revisional surgery were evaluated. The causes of failed Ex-DCR were analyzed as well.Results: The rate of success after revisional surgery was 82.76%. The major causes of failure of the external approach were synechiae formation in the nasal ostium(29/29), followed by inadequate removal of the bony wall(21/29), nasal synechiae formation between lateral wall of nose and middle turbinate(14/29), and mistaken in the localization of the lacrimal sac(7/29).Conclusion: Endoscopic approach is a good choice for patients with recurrent epiphoria after previous failed Ex-DCR surgery.

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Side Effects Analysis of Lacrimal Duct Probing Combined with Tobramycin and Dexamethasone Eye Ointment in Treating Congenital Lacrimal Duct Obstruction

10.47939/mh.v2i8.357 ◽

2021 ◽

Keyword(s):

Side Effects ◽

Lacrimal Duct ◽

Lacrimal Duct Obstruction ◽

Duct Obstruction

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Seasonal Variation in Acute Dacriocystitis

10.21203/rs.3.rs-465457/v1 ◽

2021 ◽

Author(s):

Elif Ertan ◽

Sibel İnan ◽

İsmet Doğan ◽

Ümit Übeyt İnan

Keyword(s):

Seasonal Variation ◽

Outpatient Clinic ◽

Clinical Picture ◽

Infectious Agents ◽

Lacrimal Duct ◽

Rayleigh Test ◽

Lacrimal Duct Obstruction ◽

Duct Obstruction ◽

The Mean

Abstract Objectives: Seasonal variation is possible in some medical conditions.Acute dacryocystitis is very disturbing clinical picture and can develop in any time of the year in patients with lacrimal duct obstruction. We aimed to investigate whether there is a seasonal relationship with the emergence of acute dacryocystitis.Material and Methods:The files of the patients who applied to the ophthalmology outpatient clinic with the complaints of tearing and discharge for five years and diagnosed with acute dacryocystitis were analyzed retrospectively. Age, gender, date of occurrence of the complaints and the date of diagnosis of acute dacryocystitis were recorded. In order to determine the seasonal relationship, the data regarding the number of cases who applied every month of the year were analyzed statistically by Rayleigh test.Results: The mean age of 60 patients (45 females, 15 males) included in the study was 54.70 ± 16.80 years. It was found that all patients were not equally likely to arrive at the hospital and the onset of their complaints throughout the months of the year (p <0.05). The frequency of applications was higher between May and August.Conclusion: There seems to be a seasonal relationship with the timing of the acute dacryocystitis. In our series, more acute dacryocystitis cases were encountered in the first spring-summer months. The reason for the increase of acute dacryocystitis cases in hot seasons of the year may be due to the increase in infectious agents in these seasons.

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Transcanalicular Approach to Adult Lacrimal Duct Obstruction: a Review of Instruments and Methods

Ophthalmic Surgery Lasers and Imaging ◽

10.3928/15428877-20090301-04 ◽

2009 ◽

Vol 40 (2) ◽

pp. 149-159 ◽

Cited By ~ 27

Author(s):

Paul A. Athanasiov ◽

Venkatesh C. Prabhakaran ◽

Geva Mannor ◽

John J. Woog ◽

Dinesh Selva

Keyword(s):

Lacrimal Duct ◽

Lacrimal Duct Obstruction ◽

Duct Obstruction

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Progress of Lacrimal Duct Intubation in Treating Lacrimal Duct Obstruction Diseases

Hans Journal of Ophthalmology ◽

10.12677/hjo.2015.44012 ◽

2015 ◽

Vol 04 (04) ◽

pp. 35-39

Author(s):

语珊张

Keyword(s):

Lacrimal Duct ◽

Lacrimal Duct Obstruction ◽

Duct Obstruction

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Endoscopic dacryocystorhinostomy: our experience

International Journal of Otorhinolaryngology and Head and Neck Surgery ◽

10.18203/issn.2454-5929.ijohns20163476 ◽

2016 ◽

Vol 2 (4) ◽

pp. 254 ◽

Cited By ~ 2

Author(s):

Jyothi A.C. ◽

Ajay Kumar ◽

Prawahar Chiluveru

Keyword(s):

Neck Surgery ◽

Nasolacrimal Duct ◽

Nasolacrimal Duct Obstruction ◽

Research Centre ◽

Surgical Removal ◽

Lacrimal Sac ◽

Duct Obstruction ◽

Endoscopic Dacryocystorhinostomy ◽

Medical College ◽

Frontal Process

Background: The purpose of the study was to determine the outcome and safety of endoscopic dacryocystorhinostomy (ENDO-DCR) with the use of silicon stents in nasolacrimal duct obstruction.Methods: This study was done in the department of otorhinolaryngology and head and neck surgery, Navodaya Medical College and Research Centre, Raichur, from January 2013 to June 2015, with a total of 82cases (10 cases with bilateral disease) underwent a standardized procedure, with an endonasal approach to the lacrimal sac, surgical removal of nasal mucosa, lacrimal bone, and a fragment of the frontal process of the maxilla. The medial wall of the lacrimal sac was removed completely and canalicular silicone intubation tube was placed for six weeks post operatively. Main outcome measures were resolution of epiphora, absence of discharge, and patency of the ostium confirmed by irrigation and endoscopic evaluation of neo osteum at 6 weeks.Results: The ENDO-DCR procedure with adjunctive canalicular silicon intubation tube was successful in 78 (95%) cases. No significant complications were encountered during or after operative periodConclusions: Endoscopic dacryocystorhinostomy with canalicular silicon intubation for shorter duration (6 weeks) is a safe and successful procedure for the treatment of nasolacrimal duct obstruction in adults as well as in children with a success rate of 95%.

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