scholarly journals Functional outcome of endoscopic and external dacrocystorhinostomy in a teaching hospital

2019 ◽  
Vol 5 (2) ◽  
pp. 358
Author(s):  
Arvind Varma ◽  
Sushobhan Dasgupta
Keyword(s):  
Prospective Study ◽  
Success Rate ◽  
Nasolacrimal Duct ◽  
P Value ◽  
Chi Square ◽  
Chi Square Test ◽  
Endonasal Dcr ◽  
Post Traumatic ◽  
External Dcr

<p class="abstract"><strong>Background:</strong> The objective of the study was to compare &amp; analyse the results of two different techniques of dacrocystorhinostomy (endonasal and external) in different etiological groups.</p><p class="abstract"><strong>Methods:</strong> This prospective study was carried out for nasolacrimal duct obstruction from October 2016 to October 2018 who underwent dacrocystorhinostomy by two different methods. The patient was divided into two groups one who underwent endonasal DCR (n=55) and another group who underwent external DCR (n=55). In each group they were subdivided into 3 groups on the basis of aetiology into idiopathic, post traumatic and revision cases. The results were evaluated in follow up period of 6 months. At the end of the study, decoding of the groups was done and the results were analysed statistically, using Chi Square test and student t-test, using SSPS III software. P value of less than 0.05 was considered statistically significant.</p><p class="abstract"><strong>Results:</strong> The success rate in endonasal DCR and external DCR was almost same in all the three groups (p&gt;0.05).</p><p class="abstract"><strong>Conclusions:</strong> This prospective study shows that both the methods have almost same success rate. This study also emphasises proper case selection and interdepartmental cooperation for optimum results.</p>

Surgery of the Lacrimal System

2011 ◽  
Author(s):  
Roger A. Dailey ◽  
Mauricio R. Chavez
Keyword(s):  
Prospective Study ◽  
Success Rate ◽  
Nasolacrimal Duct ◽  
The Other ◽  
Success Rates ◽  
Lacrimal Sac ◽  
Other Hand ◽  
A Prospective Study ◽  
External Dcr

Obstruction of the tear outflow system can occur anywhere along its course from the tear lake to the inferior meatus of the nose. Surgical techniques designed to relieve this functional or complete obstruction have been available for a long time. Toti of Italy described the dacryocystorhinostomy (DCR) procedure in 1908 as a treatment modality for obstruction of the nasolacrimal duct. His technique did not make use of mucosal flaps. Dupuy-Dutemps of France, on the other hand, encouraged the use of flaps. He recommended suturing together the nasal mucosal and lacrimal sac flaps. The success rate of the operation improved dramatically. Today the external DCR procedure makes use of modifications of both of these historically described procedures. In recent years, intranasal DCR has enjoyed renewed popularity. This procedure had been performed by Lester Jones and others for years but was dropped because the success rate was 80% at best. Although the use of endoscopic techniques and laser technology has been advocated by some authorities, the success rate (approximately 70%) with relatively short-term follow-up has limited its acceptance. More recently, Javate and associates reported a series of patients undergoing endoscopic DCR with the radiofrequency Ellman unit. Their reported success rate of 90% compared favorably with a 94% success rate in 50 age-matched patients undergoing external DCR with a follow-up of 9 months. This rate also compares favorably to the present authors’ success rate of approximately 95% in uncomplicated cases undergoing external DCR and a similar rate with the endoscopic approach without use of a laser. Therefore, the laser does not appear to offer any significant advantage over more traditional intranasal approaches, and the cost may actually be a financial disincentive to its use. The benefit of mitomycin continues to be debated. You and associates performed a prospective study showing favorable long-term success rates with the use of mitomycin. On the other hand, Liu and associates performed a prospective study that demonstrated no benefit. While the DCR works well for lacrimal sac or nasolacrimal duct obstruction, it does not address obstructions of the puncta and canaliculi.

scholarly journals Outcome of primary endoscopic dacrocystorhinostomy with and without stent: a randomised prospective study

2017 ◽  
Vol 4 (1) ◽  
pp. 137
Author(s):  
Rajesh Pandey ◽  
Pramod Kumar Yadav ◽  
Amit Kumar Patel ◽  
Poonam Rani
Keyword(s):  
Success Rate ◽  
Surgical Outcome ◽  
Nasolacrimal Duct ◽  
Sinus Surgery ◽  
P Value ◽  
Chi Square ◽  
Endoscopic Endonasal ◽  
Significant Difference ◽  
Endonasal Dcr ◽  
Endoscopic Dcr

<p class="abstract"><strong>Background:</strong> <span lang="EN-IN">The introduction of endoscopes with different degrees of angulation for endoscopic sinus surgery led to widespread use of endoscopic endonasal DCR (EDCR). The results of EDCR are not only encouraging, but are associated with many other additional advantages. Many modifications like LASER assisted endoscopic DCR, use of silicon tube for stenting, mitomycin-C application etc. have been described. However, insertion of silicon stent in endonasal DCR is most commonly used procedure. Many surgeons claim that use of silicon stent improves success rate of endoscopic DCR. On the other hand, some studies indicate that silicon stent itself is a reason for surgical failure. The present study was done to compare surgical outcome and complication of endoscopic DCR with and without silicon stent. </span></p><p class="abstract"><strong>Methods:</strong> <span lang="EN-IN">70 cases (total 90 EDCR) randomly taken for study. In 35 EDCR cases lacrimal stent were used and in 55 EDCR cases stent were not used. Success rate in both group was analysed using chi-square test. P value &lt;0.05 was considered as significant.  </span></p><p class="abstract"><strong>Results:</strong> <span lang="EN-IN">We found a success rate of 90.9% and 85.7% for group A (stent not used) and group B (stent used) respectively. The statistic evaluation among these groups does not show any significant difference (p=0.445) which means that insertion of stent in cases of primary EDCR does not significantly change the surgical outcome. </span></p><p class="abstract"><strong>Conclusions:</strong> <span lang="EN-IN">Endonasal DCR without silicon stent is considering as effective, safe and minimally invasive primary procedure for treatment of nasolacrimal duct obstruction. Role of using stent in primary EDCR is not very promising because it is not improving the outcome of surgery.</span></p>

scholarly journals Role of Dermaroller and Prp In Post-Traumatic Facial Scar Treatments

2020 ◽  
Vol 11 (3) ◽  
pp. 4061-4067
Author(s):  
Alpesh ◽  
Jumale V P
Keyword(s):  
Statistical Significance ◽  
T Test ◽  
P Value ◽  
Chi Square ◽  
Chi Square Test ◽  
Group A ◽  
Post Traumatic ◽  
Group B

In the present study follow up kept on immediate post-operative day and at one week to evaluate pain, bleeding and inflammation. Final follow up at two months for assessment of aesthetic score by three independent personnel. Pain and inflammation were more associated with Group B compared to Group A, but there are no statistical significance differences among this groups (P value- 0.074 and 0.136 for pain and inflammation respectively on immediate post-operative day. Chi-square test). Final follow up assessment of aesthetic scores at two months calculated by Chi- square test and comparisons of two groups for aesthetic scores done by Independent t-Test. All three personnel gave higher aesthetic score to Group B but statistically this was not significant (P-value 0.287, 0.129 and 0.400 by Observer 1, 2 and patients respectively. Chi-square test). The mean aesthetic score given by Observer 1, 2 and patient was higher associated to Group B but statistically this was not significant (P=0.526, 0.055 and 0.232 independent t-Test).

scholarly journals Risk of COVID-19 among Spectacles Wearing Population of Northern India

2021 ◽  
Author(s):  
Amit Kumar Saxena
Keyword(s):  
Virus Transmission ◽  
Cross Sectional Study ◽  
Nasolacrimal Duct ◽  
P Value ◽  
Chi Square ◽  
Cross Sectional ◽  
Northern India ◽  
Chi Square Test ◽  
Calculated Risk

Introduction: Severe Acute Respiratory Syndrome Coronavirus-2 (SARS-CoV-2) spread mainly through respiratory droplets and contact routes. Long-term use of spectacles may prevent repeated touching and rubbing of the eyes. Aim: To know the association between infection with SARS-CoV-2 and wearing of spectacles. Materials and Methods: A cross-sectional study was conducted in which 304 patients of Coronavirus Disease-2019 (COVID-19) were selected. Their spectacles wearing behaviour were assessed through a questionnaire. Spectacles wearing behaviour of general population were obtained from older studies (for comparison). Risk of COVID-19 was calculated in long-term spectacles wearers as well as in persons not using spectacles. Chi-Square test was used for statistical analysis. Results: In this study, total 58 patients showed the behaviour of using spectacles continuously during day time and always on outdoor activities. The risk of COVID-19 was found 0.48 in spectacles wearing population as compared to 1.35 in population not using spectacles. The calculated Risk Ratio (RR) was 0.36. It indicates that the risk of COVID-19 was 2-3 times less in spectacles wearing population than the population not using spectacles. The protective effectiveness of the spectacles was found statistically significant (p-value=0.00113). Conclusion: The present study showed that the risk of COVID-19 was about 2-3 times less in spectacles wearing population than the population not wearing those. The nasolacrimal duct may be a route of virus transmission from conjunctival sac to the nasopharynx.

scholarly journals Aspiration sclerotherapy: a novel and cost-effective approach to the management of hydroceles in a developing country

2017 ◽  
Vol 4 (12) ◽  
pp. 3884
Author(s):  
Arijit Roy ◽  
Vijay Jain ◽  
Jahar Majumdar
Keyword(s):  
Success Rate ◽  
Indirect Costs ◽  
Cost Effective ◽  
Prophylactic Antibiotics ◽  
Chi Square ◽  
Cost Effective Approach ◽  
High Satisfaction ◽  
Chi Square Test ◽  
A Prospective Study

Background: The present study was carried out with an aim to perform a prospective study to establish the role of sodium tetradecyl sulfate (3 %) (STDS) as a safe and effective sclerosant in the management of primary hydroceles.Methods: Sclerotherapy was performed with 3 % STDS on an outdoor basis. The amount of sclerosant injected depended on the amount of fluid drained. All patients were given prophylactic antibiotics. Patients were clinically reassessed at 1 week, 1 month, 3 months, and 6 months and earlier if complications occurred. All patients were given prophylactic antibiotics.  The data were analyzed using Statistical Package for Social Sciences Version 15.0. The data have been represented as frequencies and percentages. Chi-square test was used to compare the data. A total of 57 patients with primary vaginal hydrocele gave consent for being enrolled in the study. The age of patients ranged from 18 to 65 years with a mean age of 35.72±13.18 years.Results: The success rate at the end of the study was observed to be 84.2 %. As regards patient satisfaction, in present study, in a limited time period of follow up, all the patients who had a successful procedure were satisfied.Conclusion: Overall, sclerotherapy was observed to be a relatively cost-effective (including both direct and indirect costs) procedure with low complications, high satisfaction, faster return to work and a high success rate within the limited period of follow-up.

scholarly journals Success rate of Nasolacrimal Duct Probing in children with Congenital Nasolacrimal Duct Obstruction after the age of one year

2021 ◽  
Vol 25 (1) ◽  
pp. 16-20
Author(s):  
Misbah Munshi ◽  
Kanwal Zareen Abbasi ◽  
Areeba Zia ◽  
Wajeeha Rasool ◽  
Maria Zubair ◽  
...  
Keyword(s):  
Success Rate ◽  
Computer Software ◽  
Case Series ◽  
Nasolacrimal Duct ◽  
Nasolacrimal Duct Obstruction ◽  
P Value ◽  
Chi Square ◽  
Congenital Nasolacrimal Duct Obstruction ◽  
Duct Obstruction ◽  
One Year

Introduction: The objective of this study was to determine the success rate of nasolacrimal duct probing for congenital nasolacrimal duct obstruction in children after the age of one year.Materials and Methods: It was a descriptive case series conducted on 145 children presented to Ophthalmology Department, Allied Hospital, Faisalabad with CNLDO. The probing and syringing of the nasolacrimal duct were performed under general anesthesia. The patency of the nasolacrimal system was evaluated by irrigation of saline stained with pyodine through the superior punctum, flow of saline into the nose was confirmed by soaking of throat gauze with pyodine stained fluid and/or oozing of pyodine stained fluid through nose. Patients were advised topical antibiotics and steroids for 3 weeks after the probing and follow-up checkups after 6 weeks. Data were analyzed using SPSS computer software version 17.0. Effect modifier like age and gender was controlled by stratification. The post-stratification chi-square test was applied. P-value <0.05 was considered significant.Results: In our study, the frequency of success of nasolacrimal duct probing for congenital nasolacrimal duct obstruction in children between 1 to 2 years was 80.3%, children between 2 to 3 years of age were 53.1%, and children between 3 to 4 years of age were 32.4%.Conclusion: We concluded that the success rate of nasolacrimal duct probing for congenital nasolacrimal duct obstruction is higher in children after the age of one year and decreases gradually as the age progresses.

Laser Transcanalicular Endonasal DCR

2010 ◽  
Vol 3 (1) ◽  
pp. 23-25 ◽  
Author(s):  
Pravesh Yadav ◽  
Ravi Meher ◽  
Kavita Goyal ◽  
Virad Kumar ◽  
Aditi Chopra
Keyword(s):  
Success Rate ◽  
Failure Rate ◽  
Nasolacrimal Duct ◽  
Success Rates ◽  
Duct Obstruction ◽  
Endonasal Dcr ◽  
Endoscopic Dcr ◽  
External Dacryocystorhinostomy ◽  
Preliminary Study

Abstract Nasolacrimal duct obstruction is a common disorder which clinically manifests as epiphora. Many procedures have been described to bypass this obstruction, for example external dacryocystorhinostomy (DCR), endoscopic DCR with and without stents, Laser endoscopic DCR. Each of these procedures has its own success rates and complications. We did an analysis of all laser assisted endonasal DCR performed in our department from Feb 2006 to July 2009. In all we had operated 237 total cases out of which 203 were with normal endonasal DCR and 34 cases were Laser transcanalicular endonasal DCR (Laser DCR). Over all success rate was 92%(218 cases). In case of Laser assisted endonasal DCR the success rate was 70.3% (19 cases) with failure rate of 29.7% (8 cases) at three months follow-up. This preliminary study reveals that LASER DCR is associated with higher failure rates as compared to the normal endonasal DCR.

scholarly journals Risk of Corona virus disease 2019 (COVID-19) among spectacles wearing population of Northern India

2021 ◽  
Author(s):  
Amit Kumar Saxena
Keyword(s):  
Virus Disease ◽  
Virus Transmission ◽  
Nasolacrimal Duct ◽  
P Value ◽  
Chi Square ◽  
Northern India ◽  
Corona Virus ◽  
Chi Square Test ◽  
Respiratory Droplets ◽  
Protective Effectiveness

AbstractIntroductionSevere Acute Respiratory Syndrome Corona virus-2 (SARS-CoV-2) spread mainly through respiratory droplets and contact routes. Long term use of spectacles may prevent repeated touching and rubbing of the eyes. Aim of the study is to find out the protective effectiveness of the spectacles against COVID-19, if present.ObjectivesTo know the association between infection with SARSCoV-2 and wearing of spectacles.Materials and methodsIn this study, 304 patients of Corona virus disease 2019 (COVID-19) were selected. Their spectacles wearing behaviour were assessed through a questionnaire. Spectacles wearing behaviour of general population were obtained from older studies (for comparison). Data was put in the tabulate form and Chi- Square test was used for statistical analysis.ResultsIn this study, among the 304 total patients, 58 patients showed the behavior of using spectacles continuously during day time and always on outdoor activities. While the spectacles wearing behaviour is about 40% among general Indian population. The protective effectiveness of the spectacles was found statistically significant (p-value. 00113).ConclusionThe present study showed that the occurrence of Covid-19 was less in spectacles wearing population than the population not wearing those. The nasolacrimal duct may be a route of virus transmission from conjunctival sac to the nasopharynx.

scholarly journals Incidence of Stone Retropulsion in Ureteroscopic Pneumatic Lithotripsy for lower ureteric stones by using stone cone.

2019 ◽  
Vol 26 (12) ◽  
pp. 2169-2172
Author(s):  
Khalid Hussain ◽  
Attiq-ur-Rehman Khan ◽  
Rao Nouman Ali ◽  
Maria Tariq ◽  
Salman Shahid ◽  
...  
Keyword(s):  
Success Rate ◽  
Sampling Technique ◽  
Simple Random Sampling ◽  
Spiral Ct ◽  
Cross Sectional Study ◽  
P Value ◽  
Chi Square ◽  
Cross Sectional ◽  
Pneumatic Lithotripsy ◽  
Chi Square Test

Objectives: To measure the incidence of stone Retropulsion and its complication in ureteroscopic pneumatic lithotripsy for lower ureteric stones by using stone cone. Study Design: Observational cross sectional study. Setting: Gujranwala Medical College, Gujranwala. Period: January 2017 to December 2018. Material & Methods: Consecutive simple random sampling technique was used. Total 120 patients were treated with URS pneumatic lithotripsy for single ureteric stone were enrolled in study. The diagnosis was established by plain spiral CT scan in all patients. The incidence of stone Retropulsion and complications of procedure were noted. Data was analyzed using SPSS 22.0, chi square test was used to check stratification of data, p value less than 0.05 was taken significant. Results: The stone was in lower ureter in all patients who were included in study regardless of side. The mean age of patients was 46±2.6 years and 65% (78) patients were male while 35% (42) patients were females. Success rate of 97.5% (116) achieved in patients in which stone cone was used. Conclusion: Use of stone cone gives high success rate in preventing stone Retropulsion by using pneumatic lithotripsy.

ADVERSE EVENTS FOLLOWING ChAdOx1 nCoV-19 (COVISHIELD) VACCINE IN KASHMIR VALLEY: FINDINGS FROM FOLLOW-UP OF VACCINE RECIPIENTS USING ACTIVE SURVEILLANCE.

2021 ◽  
pp. 17-20
Author(s):  
Asif Jeelani ◽  
Mudasir Majeed ◽  
Seema Aleem ◽  
S.M Salim Khan ◽  
Waseem Raja
Keyword(s):  
Adverse Events ◽  
P Value ◽  
Computer Assisted ◽  
Chi Square ◽  
Vaccination Site ◽  
Standard Case ◽  
Prevalence Studies ◽  
Chi Square Test ◽  
Systemic Side Effects

Introduction: Surveillance for adverse events after the rollout of a new vaccine is of paramount importance. This study was conducted to estimate the frequency and characteristics Of Adverse Events Following Immunization with ChAdOx1 nCoV-19 vaccine. Methods: An observational follow-up study design was used for vaccine recipients in the rst quarter of 2021. Using non-randomized method, alternate subjects coming for vaccination were included. Baseline sociodemographic and any immediate AEFIs were recorded at the vaccination site followed by computer-assisted telephonic interviews on days 1,3,7 and 30. The same protocol was followed after second dose. Sample size was calculated using formula for prevalence studies. Standard case denitions were used for AEFIs. Chi-square test was used to test for signicance and P-value of less than 0.05 was considered signicant Results: th th A total of 652 subjects with a mean age of 59.1 ± 9.2 years were included. 3/4 of subjects were males and 1/4 were healthcare workers. The most common systemic side effects after rst dose were fever (49.4%), Fatigue (43.6%) headache (38.6%), and chills/shivering (28.4%). Myalgia/arthralgia developed in around 10% and diarrhea in around 3% of subjects. Among local symptoms, tenderness at the injection site, pain at th the site were reported by almost half whereas warmth and swelling were reported by 1/5 of participants. Second dose had a similar AEFI prole. h/o COVID-19 and younger age had a signicant association with incidence of AEFI. Conclusion:Although around half of subjects developed any AEFI, most of these were minor and self-limiting.

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