Surgical success of ‘W’ shaped incision versus Tear Trough incision in External Dacryocystorhinostomy

Orbit ◽  
2021 ◽  
pp. 1-9
Author(s):  
Isha Acharya ◽  
Jolly Rohatgi ◽  
Pramod Kumar Sahu
Keyword(s):  
Surgical Success ◽  
Tear Trough ◽  
External Dacryocystorhinostomy

scholarly journals Non endoscopic endonasal dacryocystorhinostomy versus external dacryocystorhinostomy

1970 ◽  
Vol 6 (4) ◽  
pp. 437-442 ◽  
Author(s):  
BR Sharma
Keyword(s):  
Direct Method ◽  
Case Series ◽  
Nasolacrimal Duct ◽  
Nasolacrimal Duct Obstruction ◽  
Successful Outcome ◽  
Success Rates ◽  
Endoscopic Endonasal ◽  
Duct Obstruction ◽  
Surgical Success ◽  
External Dacryocystorhinostomy

Aims and Objectives: To compare the success rates of non endoscopic endonasal dacryocystorhinostomy and conventional external dacryocystorhinostomy for the surgical management of primary acquired nasolacrimal duct obstruction. Materials and methods: A retrospective, nonrandomized, comparative interventional case series of 302 patients who underwent either endonasal or external dacryocystorhinostomy over a period of 2 years. All surgeries were performed by a single surgeon and patients with primary nasolacrimal duct obstruction with a minimum of 6 months post operative follow up were included in the study. While external dacryocystorhinostomy was performed using traditional technique, endonasal dacryocystorhinostomy was performed using direct method of nonendoscopic visualization. Results: Of the 302 cases included in the study 165 patients had endonasal dacryocystorhinostomy whereas 137 underwent external dacryocystorhinostomy. Success was defined by resolution of symptoms of tearing, a negative fluorescein dye disappearance test and patency of the canalicular system on lacrimal irrigation. In the external dacryocystorhinostomy group 124 (90.5%) patients had surgical success whereas 146 (88.5%) of the endonasal dacryocystorhinostomy patients had successful outcome. The overall success rate was 89.4%, and the difference of surgical success between the two groups was not statistically significant ( P=0.57). Conclusion: Non endoscopic endonasal dacryocystorhinostomy gives surgical results comparable to those of external dacryocystorhinostomy and is a viable alternative where dacryocystorhinostomy is indicated for primary acquired nasolacrimal duct obstruction. Key words: Endonasal Dacryocystorhinostomy (ENDCR), External Dacryocystorhinostomy (EXDCR), Primary acquired nasolacrimal duct obstruction (PANLDO)   doi: 10.3126/kumj.v6i4.1731  Kathmandu University Medical Journal (2008), Vol. 6, No. 4, Issue 24, 437-442     

Surgical Success in Single Flap External Dacryocystorhinostomy

2016 ◽  
Vol 25 (1) ◽  
pp. 42-45
Author(s):  
Ahmet KARAKURT ◽  
M. Sinan SARICAOĞLU ◽  
Ayşegül BAYSAN ◽  
Ayten KOCAMAN BULUT ◽  
İffet YARIMAĞA KAÇARLAR ◽  
...  
Keyword(s):  
Surgical Success ◽  
External Dacryocystorhinostomy

Scar Appearance and Patient Satisfaction after the Tear Trough Incision for External Dacryocystorhinostomy

2020 ◽  
Vol 103 (12) ◽  
pp. 1241-1246
Keyword(s):  
Patient Satisfaction ◽  
Retrospective Chart Review ◽  
Tear Trough ◽  
Scar Assessment ◽  
Major Disadvantage ◽  
Average Patient ◽  
High Satisfaction Rate ◽  
External Dacryocystorhinostomy ◽  
Postoperative Scar ◽  
External Dcr

Background: Postoperative scar is the major disadvantage of external dacryocystorhinostomy (DCR). Modified incision should be performed to reduce postoperative scarring. Objective: To evaluate scar appearance and patient satisfaction after the tear trough incision for external DCR. Materials and Methods: The present study was a descriptive study with information collected by telephone survey and retrospective chart review. Patients that underwent external DCR over a period of eight years were enrolled and completed the validated Patient Scar Assessment Questionnaire (PSAQ). Scar appearance, consciousness, symptom, and satisfaction were determined. Patient demographics, surgical information, and postoperative scar evaluation using the Scar Cosmesis Assessment and Rating (SCAR) scale were obtained from the medical records. Results: Fifty-eight patients responded to the telephone interview with 71 DCR surgeries performed. The most common scar characteristic and symptom reported by patients was color mismatch in 11.3% of scars and itching in 15.5%. Scar evaluated by patients was invisible in 57.7% of scars, minimally visible in 40.8%, and moderately visible in 1.4%. Among all patients with noticeable scars, 92% of these made no attempt to conceal the scars. The average patient scar grade was 0.44 (scale 0 to 3). The majority (93.1%) of patients were very satisfied with the scar outcome. Of the 64 scars evaluated by physician using the SCAR scale, common scar characteristics were scar spread (40.6%), hypopigmentation (15.6%), and hypertrophic scar (12.5%). The scar evaluated by physician was invisible in 59.4% of scars, minimally visible in 34.4%, and moderately visible in 6.3%, with an average scar grade of 0.47 (scale 0 to 3). Conclusion: The tear trough incision for external DCR results in minimal postoperative scarring, providing a very high satisfaction rate in most patients. Keywords: External dacryocystorhinostomy, DCR, Scar, Tear trough incision, Patient satisfaction

scholarly journals External Dacryocystorhinostomy and Patient Satisfaction: Perspective of General Ophthalmologist

2021 ◽  
Vol 13 (2) ◽  
pp. 21-29
Author(s):  
Suresh BK Rasaily ◽  
Kaushal Pokharel ◽  
Sulaxmi Katuwal ◽  
Sabita Bishowkarma ◽  
Ben Limbu ◽  
...  
Keyword(s):  
Patient Satisfaction ◽  
Success Rate ◽  
Case Series ◽  
Subscale Score ◽  
Nasolacrimal Duct ◽  
Nasolacrimal Duct Obstruction ◽  
Duct Obstruction ◽  
Surgical Success ◽  
Glasgow Benefit Inventory ◽  
External Dacryocystorhinostomy

Introduction: This study aimed to evaluate patient satisfaction over time in patients undergoing external dacryocystorhinostomy for primary nasolacrimal duct obstruction when done by a general ophthalmologist. Materials and methods: This prospective interventional case series was done in a secondary level eye hospital in the Midwestern region of Nepal from 1st January 2018 to 30th December 2018. Fifty-four consecutive adult patients diagnosed with primary nasolacrimal duct obstruction who underwent external dacryocystorhinostomy performed by a general ophthalmologist were included. The surgical success rate was determined at six months on the basis of the resolution of symptoms with patency on syringing. Postoperative patient satisfaction was evaluated 6 months after surgery with a standardized Glasgow Benefit Inventory and post-intervention questionnaire. Results: A total of 54 eyes were operated on within the study period and a larger number of surgeries were done in the age group 26-30 years. Female constituted 79.6 % and male 20.4% with a ratio of 3.9:1. Overall surgical success rate 6 months after surgery was 96.30%. The mean total Glasgow benefit inventory (GBI) score was 48.83 ± 23.87 (95% CI, 42.96- 56.95), mean general subscale score was 52.70± 23.28 (95% CI, 46.49-60.38), social support subscale was 49.69 ± 44.68 (95% CI, 41.15-60.35) and physical health subscale score was 37.07 ± 41.19 (95% CI, 27.48-49.26). Conclusion: The external dacryocystorhinostomy surgeries performed by general ophthalmologists achieved an excellent surgical success rate and good patient satisfaction proven by a validated questionnaire.

Tear Trough Incision for External Dacryocystorhinostomy

2015 ◽  
Vol 31 (4) ◽  
pp. 278-281 ◽  
Author(s):  
Brett W. Davies ◽  
Michael S. McCracken ◽  
Michael J. Hawes ◽  
Eric M. Hink ◽  
Vikram D. Durairaj ◽  
...  
Keyword(s):  
Tear Trough ◽  
External Dacryocystorhinostomy

ASSESSMENT OF ANATOMICAL & FUNCTIONAL SUCCESS IN EXTERNAL DACRYOCYSTORHINOSTOMY BY AIR BUBBLE TEST

2019 ◽  
Vol 3 (9) ◽  
Author(s):  
Dr. Vikas Tantuway
Keyword(s):  
Case Series ◽  
Invasive Procedure ◽  
Nasolacrimal Duct ◽  
Good Tool ◽  
Predictive Values ◽  
Reliability Indices ◽  
Air Bubble ◽  
Bubble Test ◽  
External Dacryocystorhinostomy ◽  
Anatomical Success

Aim: To assess reliability indices of Air Bubble Test (ABT) for anatomical and functional success in external Dacryocystorhinostomy (DCR). Methods: Prospective case series of nasolacrimal duct obstruction underwent DCR. Functional success defined as Munk score 0 & 1 & anatomical success as free irrigation at followup.ABT performed by putting antibiotic drops into eye& asking patient to exhale while keeping nose & mouth closed. Formation of bubbles at punctum considered as positive test. Specificity, sensitivity, positive & negative predictive values calculated. Results: There were 103 DCR in 97 patients(23 male,74 female)with mean age 45.56 yr. Anatomical and functional success was 99.02% & 98.05%, respectively.ABT showed sensitivity 96.07%, specificity 100% for anatomical success after DCR. Sensitivity and specificity were 97.02% & 100% for functional success. Conclusion: As non-invasive procedure ABT is a good tool to assess success of DCR, though lacrimal syringing remains the gold standard. Keywords: Anatomical, Dacryocystorhinostomy & Air Bubble Test.

CLINICAL CHARACTERISTICS OF THE CHRONIC DACRYOCYSTITIS AND THE SUCCESS RATE OF EXTERNAL DACRYOCYSTORHINOSTOMY

2015 ◽  
pp. 29-34
Author(s):  
Van Nam Phan ◽  
Ba Kien Tran
Keyword(s):  
Success Rate ◽  
Key Words ◽  
Clinical Characteristics ◽  
Lacrimal Duct ◽  
Interventional Study ◽  
Chronic Dacryocystitis ◽  
External Dacryocystorhinostomy ◽  
The Mean

Purpose: To determine the clinical characteristics of the chronic dacryocystitis and the success rate of external dacryocystorhinostomy. Methods: The retrospective, interventional study without comparing on 27 patients (32 eyes) of chronic dacryocystitis who underwent dacryocystorhinostomy (DCR) from 2010 to 2011. Results were evaluated with standards: epiphora, purelence, lacrimal duct irrigation. Results: Over period of 6 months, 27 patients including 25 (92.59%) female, 2 (7.41%) male. The mean age was 49.8 years (range, 22-79 years). All patients demonstrated epiphera (range, 3 months – 11 years). Dacryocystorhinostomy was performed unilaterally in 81.48%, bilateral 18.52%. Successrate was 90.06% overall. Conclusions: Although techniques in dacryocystorhinostomy of DUPUY-DUTEMPS is old, its result is mainstay of treatment for chronic dacryocystitis in Vietnam. Key words: Dupuy-Dutemps, chronic dacryocystitis

Sign in / Sign up

Export Citation Format

Share Document