scholarly journals The long-term outcomes of transcanalicular diode laser-assisted endoscopic dacryocystorhinostomy in isolated nasolacrimal duct obstruction

2021 ◽  
Vol 63 (3) ◽  
pp. 170-174
Author(s):  
Mehmet Cem Sabaner ◽  
Orhan Kemal Kahveci ◽  
Reşat Duman ◽  
Mehmet Akif Erol ◽  
Ersan Çetinkaya ◽  
...  
Keyword(s):  
Diode Laser ◽  
Nasolacrimal Duct ◽  
Nasolacrimal Duct Obstruction ◽  
Long Term Outcomes ◽  
Duct Obstruction ◽  
Endoscopic Dacryocystorhinostomy

scholarly journals Endoscopic dacryocystorhinostomy for acquired nasolacrimal duct obstruction: long-term results in 91 procedures

2014 ◽  
Vol 52 (4) ◽  
pp. 413-418 ◽  
Author(s):  
A. Saratziotis ◽  
E. Emanuelli ◽  
H. Gouveris ◽  
E. Tsironi ◽  
K. Fountas
Keyword(s):  
Nasolacrimal Duct ◽  
Nasolacrimal Duct Obstruction ◽  
Long Term Results ◽  
Duct Obstruction ◽  
Endoscopic Dacryocystorhinostomy

scholarly journals Successes rate of endoscopic dacryocystorhinostomy at KMC

1970 ◽  
Vol 8 (2) ◽  
pp. 195-198 ◽  
Author(s):  
S Shrestha ◽  
PK Kafle ◽  
S Pokhrel ◽  
M Maharjan ◽  
KC Toran
Keyword(s):  
Success Rate ◽  
Symptomatic Relief ◽  
Nasolacrimal Duct ◽  
Nasolacrimal Duct Obstruction ◽  
Sinus Surgery ◽  
Duct Obstruction ◽  
Complete Cure ◽  
Endoscopic Dacryocystorhinostomy ◽  
Endoscopic Dcr ◽  
Sac Syringing

Background: Nasolacrimal duct obstruction is a common problem which can be corrected by dacryocystorhinostomy (DCR). The gold standard treatment for this is DCR operation through an external approach. Development of endoscopic sinus surgery and endoscopic DCR performed through intranasal route is a major recent development in this field. Objectives: The aim of this study is to find out the success rate of endoscopic dacryocystorhinostomy without silicon stent intubation within the period of six month following surgery. Materials and methods: A prospective study was done on 26 patients with obstruction of the nasolacrimal duct referred from eye out-patient department to ENT OPD during one year period from 2008 to 2009. All the cases had undergone endoscopic DCR operation which was regularly followed up for a period of six months. Postoperative patency of ostium was checked by sac syringing and endoscopic visualisation of ostium in the nasal cavity. The success of surgery was categorised as: complete cure, partial cure and no improvement depending upon symptomatic relief and clinical examination such as sac syringing and endoscopic examination following surgery. Result: In six months' follow-up, 22 (84.5%) out of 26 patients had achieved the complete cure and 4 patients (15.5%) continued to have persistent epiphora. Conclusion: Endoscopic DCR is a beneficial procedure for nasolacrimal duct obstruction with no external scar on face and less bleeding. The success rate is as good as external DCR. Key words: Nasolacrimal duct; Epiphora; Rigid nasal endoscope; Endoscopic Dacryocystorhinostomy DOI: 10.3126/kumj.v8i2.3557 Kathmandu University Medical Journal (2010), Vol. 8, No. 2, Issue 30, 195-198

scholarly journals Assessment of Long-Term Outcomes Associated With a Lobulated Pedicled Nasal Mucosa Flap Technique for Endoscopic Dacryocystorhinostomy Without Stenting

2020 ◽  
pp. 014556131990002 ◽  
Author(s):  
Dong Wang ◽  
Ping Fang ◽  
Yi Zhao
Keyword(s):  
Nasal Mucosa ◽  
Symptom Relief ◽  
Nasolacrimal Duct ◽  
High Rate ◽  
Long Term Outcomes ◽  
Endoscopic Dacryocystorhinostomy ◽  
Flap Technique ◽  
Subjective Study

Objective: This study describes a surgical approach wherein a lobulated pedicled nasal mucosa flap technique was employed for endoscopic dacryocystorhinostomy (EDCR) as a means of treating nasolacrimal duct obstructions. This study also assessed the long-term outcomes of this EDCR approach when implemented without stenting. Methods: This was a retrospective study of a total of 63 patients (67 eyes) treated for nasolacrimal duct obstructions between January 2011 and November 2016. All patients had undergone ophthalmic diagnosis followed by EDCR treatment using a lobulated pedicled nasal mucosa flap without stenting. Patients were then monitored for both anatomical patency and sustained symptom relief during the follow-up period in order to assess objective and subjective study outcomes. Results: Patients were followed for a mean of 25.3 ± 1.2 months (range: 24-28 months), with a 100% anatomical patency success rate (67/67) and a 94.03% symptomatic cure rate (63/67). There were no instances of complications. Conclusions: The use of a lobulated pedicled nasal mucosa flap technique for EDCR without stenting is a straightforward, effective, and safe approach that keeps bone exposure to a minimum while offering a high rate of satisfactory outcomes, making it a procedure worthy of consideration as a means of treating patients suffering from nasolacrimal duct obstructions.

A Case of Endoscopic Dacryocystorhinostomy for Nasolacrimal Duct Obstruction Secondary to Sarcoidosis

2015 ◽  
Vol 141 (0) ◽  
pp. 38-39
Author(s):  
Koji Otsuka ◽  
Masaaki Shimizu ◽  
Motoko Shibata ◽  
Yohei Okayoshi ◽  
Susumu Araki ◽  
...  
Keyword(s):  
Nasolacrimal Duct ◽  
Nasolacrimal Duct Obstruction ◽  
Duct Obstruction ◽  
Endoscopic Dacryocystorhinostomy

scholarly journals Endoscopic dacryocystorhinostomy for nasolacrimal duct obstruction: an assessment of post-operative outcomes at a tertiary health care centre

2021 ◽  
Author(s):  
R. K. L. N. Raju Dantuluri
Keyword(s):  
Health Care ◽  
Success Rate ◽  
Drainage System ◽  
Nasolacrimal Duct ◽  
Nasolacrimal Duct Obstruction ◽  
Deviated Nasal Septum ◽  
Health Care Centre ◽  
Duct Obstruction ◽  
Endoscopic Dacryocystorhinostomy ◽  
Operative Outcomes

Background: Endoscopic dacryocystorhinostomy (Endo DCR) is a well-established surgical treatment for nasolacrimal duct obstruction (NLDO) cases. Advances in surgical technique and a better understanding of the anatomy have resulted in improvement of the success rate. The objective of this study is to assess the factors responsible for the recurrence of nasolacrimal system obstruction by evaluating the post-operative outcomes of Endo DCR at a tertiary health care centre.Methods: A retrospective study was conducted in the department of ENT, GVP IHC and MT, Visakhapatnam – Andhra Pradesh on 52 patients who underwent Endo DCR procedure from September 2018 to September 2021. The data regarding lacrimal drainage system, operative details, surgical outcomes and complications were analysed.Results: Fifty-two patients (18 male and 34 female) underwent 63 Endo DCR surgeries for NLDO. Success was achieved in 50 cases (79.4%), and failure in 13 (20.6%). Of the 13 failed cases, anatomical obstruction at the fistula site was found in 6 (46.2% of failed cases), whereas functional failure with no evidence of obstruction was found in 7 (53.8%).Conclusions: The success rate appears to be influenced by preoperative parameters like clinical as well as radiological examination of eye and nose; ruling out intraoperative conditions like sinusitis, deviated nasal septum, polyps. These are essential for better coordinating therapeutic expectations and better patient selection. Endo DCR proved to be a safe invasive procedure as it has direct approach to the sac and produced excellent results without any external scar.

scholarly journals Endoscopic dacryocystorhinostomy: our experience

2016 ◽  
Vol 2 (4) ◽  
pp. 254 ◽  
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

<p class="abstract"><strong>Background:</strong> 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.</p><p class="abstract"><strong>Methods:</strong> 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.</p><p class="abstract"><strong>Results: </strong>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 period</p><p><strong>Conclusions:</strong> 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%.</p>

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