Endoscopic Endonasal Dacryocystorhinostomy With a Novel Lacrimal Ostium Stent in Chronic Dacryocystitis Cases With Small Lacrimal Sac

2020 ◽  
Vol Publish Ahead of Print ◽  
Author(s):  
Bo Yu ◽  
Zhenbin Qian ◽  
Xuemei Han ◽  
Yunhai Tu ◽  
Wencan Wu
Keyword(s):  
Lacrimal Sac ◽  
Endoscopic Endonasal ◽  
Chronic Dacryocystitis

scholarly journals Endoscopic endonasal dacryocystorhinostomy-an experience in a tertiary care hospital

2021 ◽  
Vol 7 (10) ◽  
pp. 1593
Author(s):  
Atishkumar B. Gujrathi ◽  
Paritosh A. Kamble ◽  
Shashin Khadkekar ◽  
Nishikant Gadpayale ◽  
Yogesh Paikrao ◽  
...  
Keyword(s):  
Tertiary Care ◽  
Nasolacrimal Duct ◽  
Care Hospital ◽  
Lacrimal Sac ◽  
Endoscopic Endonasal ◽  
Pump System ◽  
Medical College ◽  
Affected Side ◽  
Chronic Dacryocystitis ◽  
Left And Right

<p><strong>Background:</strong> Dacryocystorhinostomy is a surgical procedure by which the lacrimal flow is diverted into the nasal cavity by making an opening in the lacrimal sac when the nasolacrimal duct gets blocked. The operation can be carried out using either an external or endonasal surgical approach.</p><p><strong>Methods:</strong> This is a clinical observational study done on 50 patients with chronic dacryocystitis with obstruction at the level of sac or nasolacrimal duct. This study was conducted at Dr. Shankarrao Chavan government medical college, Nanded, during the period of 2 years (2018-2020). Patients were evaluated and operated for endoscopic endonasal dacryocystorhinostomy.</p><p class="Default"><strong>Results:</strong> The mean age of studied cases was 33.92±12.13 years. The M:F ratio was 0.78. Epiphora was the predominant complaint in all cases 100%. Swelling of lacrimal sac was present in 24% cases and Pain on affected side was present in 18% cases. 6% patients had fistula on the side of block. 12% patients had mucocele and 14% patients had pyocele on the affected side. Left and right side was involved in 54% and 40% cases respectively. The disease presented bilaterally in 06% cases. 80% patients had no complications after endonasal endoscopic dacryocystorhinostomy (EEDCR) surgery. Rate of surgical success was 92%.</p><p class="Default"><strong>Conclusions:</strong> Nasolacrimal duct obstruction is more common among females and in middle aged persons. EEDCR is treatment which provides patients relief from the symptoms without any scar and also preserves nasolacrimal pump system with high success rate. It may prove better surgical technique in chronic dacryocystitis.</p>

scholarly journals The Fibrin Glue Application Enhances Surgical Success Rate in Endonasal Endoscopic Dacryocystorhinostomy With Lacrimal Sac Preservation

2019 ◽  
pp. 014556131988212 ◽  
Author(s):  
Seyit Mehmet Ceylan ◽  
Ceren Erdoğan ◽  
Tevfik Sozen ◽  
Mahmut Alper Kanmaz ◽  
Ilyas Disikirik ◽  
...  
Keyword(s):  
Success Rate ◽  
Fibrin Glue ◽  
Complication Rate ◽  
Anastomosis Group ◽  
Lacrimal Sac ◽  
Endoscopic Endonasal ◽  
Subjective Report ◽  
Positive Functional ◽  
Surgical Success ◽  
Endoscopic Dacryocystorhinostomy

The purpose of this study to compare lacrimal sac flap preserving techniques with or without fibrin glue in patients undergoing endoscopic endonasal dacryocystorhinostomy. A retrospective study included 132 patients who underwent unilateral endonasal dacryocystorhinostomy between February 2011 and March 2016. Patients were divided into 2 groups: the nonfibrin glue group (n = 66) and fibrin glue anastomosis group (n = 66). Surgical success was defined as the patients’ subjective report of relief of epiphora and objective endoscopic confirmation of ostium patency confirmed by a positive functional dye test. These parameters were compared between the 2 groups. Both groups were similar, in terms of demographic and clinical characteristics. The surgical success rate was significantly higher in the fibrin glue anastomosis group (95.5%) than in the nonfibrin glue group (84.8%; P = .041). Complication rate was 6.1% in the nonfibrin glue group, whereas in the fibrin glue anastomosis group, it was 4.5%. The complication rate was similar in both groups ( P = .99). Creation of an anastomosis between the lacrimal sac flaps and the nasal mucosa using fibrin glue improves the outcome of endonasal endoscopic dacryocystorhinostomy.

scholarly journals Powered endoscopic endonasal dacrocystorhinostomy using inferiorly based mucosal flap: our experience

2019 ◽  
Vol 5 (4) ◽  
pp. 936
Author(s):  
Ramya B. ◽  
Suprabha M. H. ◽  
Prakash M. D.
Keyword(s):  
Simple Procedure ◽  
Nasolacrimal Duct ◽  
Medial Wall ◽  
Critical Element ◽  
Lacrimal Sac ◽  
Term Outcome ◽  
Endoscopic Endonasal ◽  
Long Term Outcome ◽  
Mucosal Flap

<p class="abstract"><strong>Background:</strong> The most critical element for successful management of lacrimal system pathology distal to common canaliculus that requires endoscopic endonasal dacrocystorhinostomy (EEDCR) is the creation of widest possible marsupialisation of the medial wall of the lacrimal sac. With minor modifications and simplication of the original technique of EEDCR, common surgical failures like obstruction of neo-ostium by granulation tissue or infolding of flap can be avoided. To determine the success of EEDCR using inferiorly based mucosal flap, removal of overlying bone using Kerrison’s punch followed by vertical incision of the medial wall of lacrimal sac with microdebrider assisted trimming of the lacrimal sac flaps.</p><p class="abstract"><strong>Methods:</strong> A total of 31 patients with epiphora secondary to nasolacrimal duct obstruction (NLDO) were operated using the above technique with 3 bilateral cases amounting to a total of 34 procedures. The surgical outcome and long term patency of neo-ostium were evaluated.  </p><p class="abstract"><strong>Results:</strong> Of the 34 procedures, 32 procedures (94.1%) had complete resolution of epiphora at the end of one year follow up. The 2 failures were due to canaliculitis.</p><p class="abstract"><strong>Conclusions:</strong> Powered EEDCR with trimming of medial wall of lacrimal sac and inferiorly based mucosal flap preservation to cover the exposed part of bone is a simple procedure with favourable long term outcome.</p>

scholarly journals ENDOSCOPIC ENDONASAL DACRYOCYSTORHINOSTOMY: EXPERIENCE OF HUNDRED CASES

2021 ◽  
Vol 71 (6) ◽  
pp. 2104-08
Author(s):  
Muhammad Shahid ◽  
Muhammad Awais ◽  
Amjad Akram ◽  
Syed Abid Hassan Naqvi ◽  
Omar Zafar ◽  
...  
Keyword(s):  
Armed Forces ◽  
Nasolacrimal Duct ◽  
Nasolacrimal Duct Obstruction ◽  
Sample Population ◽  
Endoscopic Endonasal ◽  
Duct Obstruction ◽  
Lacrimal System ◽  
Chronic Dacryocystitis ◽  
Quasi Experimental ◽  
External Dacryocystorhinostomy

Objective: To determine the success rate of Endonasal Endoscopic Dacryocystorhinostomy (Endo-DCR) in cases of chronic dacryocystitis secondary to primary acquired nasolacrimal duct obstruction (NLDO). Study Design: Quasi-experimental study. Place and Duration of Study: Department of Oculoplastic Surgery, Armed Forces Institute of Ophthalmology Rawalpindi, from Sep 2018 to Nov 2019. Methodology: Endo-DCR under General Anaesthesia was performed on 100 patients of primary acquired nasolacrimal duct obstruction causing chronic dacryocystitis. Post-operatively these patients were checked on first post-op day, then on one week and finally four months after surgery. We removed silicone tubes of all the patients four months after surgery. To ensure patency of lacrimal passage, we did syringing and irrigation of lacrimal system of all cases, at conclusion of the study. We chose absence of epiphora and patent lacrimal system on syringing as indicators of successful procedure. Results: Hundred patients (males 37; females 63) were recruited for this study. Mean age of our sample population was 51.1 ± 29 years. Right nasolacrimal duct obstruction cases were 56 whereas left nasolacrimal duct obstruction cases were 44. Subjective improvement i.e., absence of epiphora was found in 90% patients. We got successful irrigation of lacrimal passages (objective improvement) in 94% of patients. Conclusion: Endo-DCR yields comparable results to external Dacryocystorhinostomy (Ex DCR). It offers additional benefits of esthetically better outcome, lesser complication rate and short surgery and patient recovery time.

scholarly journals Anatomical and Functional Evaluation of Conventional vs Inferior Endoscopic Dacryocystorhinostomy in Study Cases of Idiopathic Chronic Dacryocystitis

2017 ◽  
Vol 10 (2) ◽  
pp. 86-90
Author(s):  
Aditya Kashyap ◽  
Satisg Negi ◽  
Prem L Chauhan ◽  
Kuldeep Thakur
Keyword(s):  
Operative Time ◽  
Nasal Endoscopy ◽  
Functional Evaluation ◽  
Lacrimal Sac ◽  
Endoscopic Dacryocystorhinostomy ◽  
Group I ◽  
Chronic Dacryocystitis ◽  
Endoscopic Dcr ◽  
Fluorescein Dye

ABSTRACT Objective To compare the results of conventional nasal endoscopic dacryocystorhinostomy (DCR) and inferior nasal endoscopic DCR in Study cases of idiopathic chronic dacryocystitis. Materials and methods Forty patients diagnosed with idiopathic chronic dacryocystitis were divided into two groups alternately. After relevant investigations, they were subjected for endoscopic DCR by two techniques. Twenty patients underwent conventional endoscopic DCR and 20 underwent inferior endoscopic DCR under transoral pterygopalatine block and topical lignocaine (4%) with adrenaline 1:2,000. After 3 months of follow-up in the outpatient department, nasal endoscopy along with fluorescein dye disappearance test (FDDT) at 10 minutes was done. Results Ninety-five percent (19/20) of patients undergoing conventional endoscopic DCR and 90% (18/20) of patients undergoing inferior endoscopic DCR were found to have patent anatomical fistula. On FDDT, nasal endoscopy after 10 minutes revealed 84% (16/19) in group I and 94.4% (17/18) in group II with fluorescein in nasal cavity. Conclusion Present study concludes the importance of bony, tendinous, and muscular support of lacrimal sac in physiological lacrimal pump functioning and advantage of relatively new technique of inferior endoscopic DCR. Inferior endoscopic DCR is associated with less operative time as well as less local complications. How to cite this article Thakur K, Kashyap A, Negi S, Chauhan PL. Anatomical and Functional Evaluation of Conventional vs Inferior Endoscopic Dacryocystorhinostomy in Study Cases of Idiopathic Chronic Dacryocystitis. Clin Rhinol An Int J 2017;10(2):86-90.

scholarly journals Primary small B cell non-Hodgkin Lymphoma of the Lacrimal Sac Upon Chronic Dacryocystitis

2016 ◽  
Vol 3 (7) ◽  
pp. 290
Author(s):  
Murat Gumussoy ◽  
Sinan Uluyol ◽  
Ulku Kucuk ◽  
Gokhan Kurtoglu ◽  
Tolga Kandogan ◽  
...  
Keyword(s):  
B Cell ◽  
Hodgkin Lymphoma ◽  
Lacrimal Sac ◽  
Non Hodgkin Lymphoma ◽  
Chronic Dacryocystitis

Ectopic lacrimal gland in the lacrimal sac mimicking tumour: literature review

2020 ◽  
Vol 13 (7) ◽  
pp. e235187
Author(s):  
Athanasios Saratziotis ◽  
Claudia Zanotti ◽  
Maria Baldovin ◽  
Enzo Emanuelli
Keyword(s):  
Lacrimal Gland ◽  
Histopathological Examination ◽  
Drainage System ◽  
Surgical Excision ◽  
Complete Recovery ◽  
Postoperative Recovery ◽  
Endoscopic Approach ◽  
Lacrimal Sac ◽  
Chronic Dacryocystitis ◽  
Mri Scans

An 80-year-old man referred with repeated episode of dacryocystitis from the left lacrimal drainage system and palpable swelling. For many years, he has being presented with epiphora unilaterally with chronic dacryocystitis. Investigations with dye-test revealed subocclusion of the natural passage of the tears, and CT and MRI scans revealed solid mass in the lacrimal sac. The lacrimal sac was opened by endonasal endoscopic approach, the sacral mass was identified and completely removed. The histopathological examination showed lacrimal gland in ectopic position. Patient followed for 18 months with complete recovery of symptoms. In our differential diagnosis, the ectopic lacrimal gland is also identified, when a mass in the lacrimal sac and duct is present. Successful surgical excision required considerable multidisciplinary teamwork between ophtalmologist–ENT (Otolaryngologist) and radiologist. Endonasal endoscopic approach is perfectly safe with direct control and ensures a smooth postoperative recovery.

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