Symptomatic Lacrimal Duct Diverticulum Associated with Closed Nasal Fracture

1994 ◽  
Vol 32 (4) ◽  
pp. 434-437 ◽  
Author(s):  
Henry M. Spinelli ◽  
Scott Shih
Keyword(s):  
Lacrimal Duct ◽  
Nasal Fracture

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

scholarly journals Assessment of Lacrimal Duct Patency in Patients Undergoing Endoscopic Medial Maxillectomy

2021 ◽  
Vol 10 (2) ◽  
pp. 245
Author(s):  
Andrzej Sieśkiewicz ◽  
Tomasz Łysoń ◽  
Marek Rogowski ◽  
Marek Bielecki ◽  
Ewa Gindzienska-Sieskiewicz ◽  
...  
Keyword(s):  
Assessment Method ◽  
Test Results ◽  
Functional Disorders ◽  
Lacrimal Duct ◽  
Assessment Tests ◽  
Number Of Patients ◽  
Study Results ◽  
Assessment Techniques ◽  
Medial Maxillectomy ◽  
Comparison Of The Results

Purpose: The risk of epiphora after medial maxillectomy with lacrimal duct transection is difficult to assess. The data available in the literature are inconclusive due to various operating techniques used by the authors of medical publications, different additional procedures aimed at improving tear drainage after maxillectomy, and a variety of lacrimal duct patency assessment techniques. The aim of our work was to assess the anatomical and functional patency of lacrimal ducts after medial maxillectomy without performing additional procedures to improve tear drainage as well as comparison of the results obtained with different assessment tests. Materials and methods: 21 patients who underwent medial maxillectomy in the years 2016–2019 were assessed for discomfort and epiphora based on patients’ own reports and basic clinical examination, lacrimal duct rinse test, the Munk score, and a modified endoscopic Jones I test. Results: Gradually increasing the sensitivity of the assessment method resulted in an increase in the number of patients with potential tear drainage disorders, starting from 0% in the rinsing test, 4.8% self-reported tearing complaints, 14.3% Munk score, and 19% modified endoscopic Jones I test. Conclusions: The study results revealed that a small fraction of patients tend to report epiphora as a consequence of medial maxillectomy themselves. Subtle functional disorders, which are not particularly bothersome to patients, are more common. More sensitive lacrimal duct patency tests reveal more cases of tear drainage disorders. The results of studies assessing the incidence of epiphora after medial maxillectomy appear to depend on the type of test used.

Contemporary Trends in Procedural Volume for Adult Facial Trauma, 1996-2006

2011 ◽  
Vol 146 (2) ◽  
pp. 226-229 ◽  
Author(s):  
Linda N. Lee ◽  
Neil Bhattacharyya
Keyword(s):  
Medical Center ◽  
Academic Medical Center ◽  
Mandibular Fracture ◽  
Facial Trauma ◽  
Facial Fracture ◽  
National Hospital Discharge Survey ◽  
Historical Cohort ◽  
Key Indicator ◽  
Nasal Fracture ◽  
Procedural Volume

Objectives. To determine how rates of operative facial fractures may have changed between 1996 and 2006 and to determine the potential impact of such change on otolaryngology residency surgical key indicator cases. Study Design. Historical cohort study. Setting. Academic medical center. Subjects and Methods. The National Hospital Discharge Survey (NHDS) and National Survey of Ambulatory Surgery (NSAS) 1996 and 2006 cases were reviewed, extracting all cases of adult nasal, malar/zygomatic, maxillary, and mandibular fracture reductions in inpatient and outpatient settings, respectively. Procedure rates for each facial fracture were tabulated and compared between 1996 and 2006. Results. Overall in 1996, there were an estimated 113,041 ± 3740 operative facial fracture repairs performed. Among the 3 key indicator fracture repairs most relevant to otolaryngologists, there were 15,810 ± 2143 open nasal fracture reductions, 9360 ± 1742 open zygomaticomaxillary (ZMC) fracture reductions, and 20,214 ± 2585 open mandibular fracture repairs. Overall in 2006, there were 120,463 ± 7554 total facial fracture procedures, with 11,613 ± 2846 open nasal fracture reductions, 10,216 ± 2881 open ZMC fracture reductions, and 17,965 ± 3171 open mandibular repairs. Comparing cohorts, there was no significant change in number of open nasal, ZMC, or mandibular fracture repairs ( P = .24, P = .58, P = .80, respectively). Conclusion. Facial fracture procedure rates have remained largely stable over the past 10 years. These data have implications for otolaryngology training programs and could help guide resident education in facial trauma.

Seasonal Variation in Acute Dacriocystitis

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.

scholarly journals Stent technique for endoscopic dacryocystorhinostomy – Our expertise

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.

scholarly journals 1402 Impact of COVID-19 on Nasal Fracture Presentation and Epidemiology: A Retrospective Comparative Case-series Study

2021 ◽  
Vol 108 (Supplement_6) ◽  
Author(s):  
A Hassane ◽  
S Palaniappan ◽  
M Szostok ◽  
M Shakeel
Keyword(s):  
Local Anaesthetic ◽  
Older Patients ◽  
Nasal Congestion ◽  
Case Series ◽  
Nasal Fracture ◽  
Case Series Study ◽  
The Common ◽  
The Difference ◽  
Nasal Fractures ◽  
Series Study

Abstract Aim Nasal fractures (NF) are the most common ENT presentation and commonly managed in the clinic or A&E. With the recent COVID pandemic, this study aims to assess the difference in demographics, incidence and aetiology in NF since the start of the first lockdown (16/03/2020) as well as management of nasal fractures. Method Retrospectively, data collection on demographics, history and management over 5 years (2015-2020) for all patients presenting with symptoms of nasal fracture. Data was collected on password-protected Excel spreadsheet and subsequent statistical analysis performed using IBM SPSS Statistics. Results A total of 346 patients were identified of which 36 were diagnosed during the lockdown. Seventy-one percent were ≤40 years old and common aetiology recorded was assault (n = 85), sports (n = 85) and falls (n = 77). Mechanical fall was the common aetiology in older patients. Across gender, falls was the most common aetiology in females (37/94) and assault for males (72/246). Epistaxis (57%) and nasal congestion (31.8%) were most commonly reported symptoms. Before lockdown, Fifty-six percent of the cohort underwent manipulation of NF under local anaesthetic and no intervention needed in 39% while 58% underwent no intervention during the lockdown. No patients were readmitted in 30 days who were treated conservatively or with local anaesthetic during the lockdown. Conclusions This study showed that the most common cause of NF was sports and assault while during the lockdown, falls was the leading cause. More patients were managed conservatively during the lockdown with no 30-readmission showing that conservative management was as effective as management under local anaesthetic.

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