Comparison of postoperative pain and satisfaction after dacryocystorhinostomy in patients operated on under local and general anesthesia

Knežević, Miloš; Vlajković, G.; Stojković, Marija Mostarica; Rašić, Dejan; Stanković, Branislav R.; Božić, Marija

doi:10.12659/msm.882730

Cited by 17 publications

(13 citation statements)

References 14 publications

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“…Daskaya et al concluded that septoplasty under LAS is more cost-effective than under GA [8]. In a study of 50 patients who had external dacryocystorhinostomy under LA (the use of sedation was not discussed) on one side and under GA on the other, Knezevic et al found that patients were more satisfied with LA than GA and 94% of them would prefer LA during the next procedure [16].…”

Section: Discussionmentioning

confidence: 99%

Sialendoscopy under local anaesthesia

Jokela

Haapaniemi

Mäkitie

et al. 2016

Acta Oto-Laryngologica

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The level of discomfort and pain experienced during the operation was assessed as 'mild' or 'none' by 85% and 89% of the patients, respectively. The level of pain experienced after the operation was 'major' in 4% of patients and 'mild' or 'none' in the majority (87%) of patients. The patients' estimations showed no significant difference between the diagnostic and interventional procedures, although it seems that patients who underwent stone removal by transoral incision experienced the operation as a bit more uncomfortable and painful than other patients. Afterwards 97% of patients stated that they would agree to a new LA/LAS sialendoscopy in the future if needed.

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Section: Discussionmentioning

confidence: 99%

Sialendoscopy under local anaesthesia

Jokela

Haapaniemi

Mäkitie

et al. 2016

Acta Oto-Laryngologica

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“…[ 9 ] In this study, 72.5% of patients were female and 27.5% male who found similar results in most studies. [ 10 11 ] Gilliland et al ., believed the predilection in females may be due to the smaller nasolacrimal canal diameter in females than in men and hormonal factors. [ 12 ] About 47.5% of patients in this study were in the age group above 50 years, which is in harmony with Yoon et al ., study[ 13 ] and 44.8% of female cases were in menopause stage, this finding confirms the prevalence of this disorder in women in the menopause stage.…”

Section: Discussionmentioning

confidence: 99%

Patients undergoing dacryocystorhinostomy surgery in northern Iran: An epidemiologic study

Majidaee

Mohammadi

Rezaee

et al. 2014

Ann Med Health Sci Res

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Background:Dacryocystorhinostomy (DCR) is widely accepted as the procedure of choice for surgical correction of lacrimal drainage system obstruction distal to common canaliculus in adulthood. Although, there are only limited epidemiological data available in Iran about the patients undergoing DCR surgery.Aim:This study was aimed to survey the demographic characteristics of patients received (DCR) surgery to achieve the newer information about these patients.Subjects and Methods:In this descriptive study, the demographic characters such as age, and gender, clinical findings, history of surgery, etc., extracted from archived files of the patients undergoing DCR surgery in educational and treatment center of Bu Ali Sina Hospital in Mazandaran. Data were entered into the SPSS software version 15 (Chicago, IL, USA) and analysis inferential analysis performed using t-test and Chi-square.Results:Among 40 under survey records 72.5% (29/40) were female and 27.5% (11/40) male. Patient's mean age was 48.22 (17.1). Fifty percent were from a rural area and there was a significant relationship between gender and dacryocystitis rate, it was high among female (P = 0.02(Most of the patients complained of tearing 87.5% (35/40) and recurrent attacks of acute dacryocystitis 70.3% (28/40), respectively. Conjunctivitis in 33.3% (13/40) of patients and chronic discharge was seen in 40% (16/40) of cases.Conclusion:Overall finding showed in comparisons of men with the females of middle age and above included higher cases of dacryocystitis. The authors suggest regarding high prevalence of sinusitis and allergies in Northern Iran, checking by ENT specialist is beneficial to exact diagnosis and programming for treatment of this kind of patients.

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“…This study included 55.2% females and 44.7% males, which is similar to study conducted by M. Alnawaiseh et al 2 (Gender [Female:Male] 97 (66.4%) : 49 (33.6%)) and most other studies. 10,11 The smaller nasolacrimal canal diameter and hormonal factors may be responsible for the increased predilection in females. Majority of the patients were above 50 years of age.…”

Section: Discussionmentioning

confidence: 99%

Characteristics and Surgical Outcomes of Patients Undergoing Dacryocystorhinostomy in Kashmir

Kubravi¹,

Qureshi²,

Akbar³

et al. 2016

jemds

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BACKGROUNDTo study the pre-and post-operative characteristics and evaluate the surgical outcomes in patients undergoing external dacryocystorhinostomy for nasolacrimal duct obstruction with or without any previous episodes of dacryocystitis. MATERIALS AND METHODSThis hospital based study was carried out at the Postgraduate Department of Ophthalmology, Government Medical College, Srinagar. A series of 76 patients with nasolacrimal duct obstruction, who underwent external dacryocystorhinostomy were studied. The preoperative evaluation included the following parameters: age, gender, residence, occupation, duration of symptoms, history of previous dacryocystitis, previous DCR, side of obstruction and presence of any other diseases (Systemic or ocular). Patients were examined at 1 week, 1 month, 3 months and 6 months following surgery. Surgical success was determined by the postoperative patency on syringing and resolution of symptoms at the end of six months. Patient satisfaction and complication rates were also assessed. RESULTSOut of the 76 patients evaluated, 42 were females and 34 were males. The mean age of patients was 58.6±14 years. The mean duration of symptoms was 2.7 years. Left sided obstruction was more common (41 patients) than right-sided obstruction (33 patients).Bilateral obstruction was present in 2 patients; 30 patients had previous history of dacryocystitis, while 46 patients had no such history. The success rate was 88.4% for patients without previous history of dacryocystitis and 83.3% for patients with previous history of dacryocystitis. CONCLUSIONThe nasolacrimal duct obstruction is commoner in females than males in Kashmiri population. External dacryocystorhinostomy is an efficacious, safe and cost-effective treatment for the nasolacrimal duct obstruction. The surgical outcome is similar in patients with and without any previous history of dacryocystitis. The complication rate is low and overall patient satisfaction is high.

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Comparison of postoperative pain and satisfaction after dacryocystorhinostomy in patients operated on under local and general anesthesia

Cited by 17 publications

References 14 publications

Sialendoscopy under local anaesthesia

Sialendoscopy under local anaesthesia

Patients undergoing dacryocystorhinostomy surgery in northern Iran: An epidemiologic study

Characteristics and Surgical Outcomes of Patients Undergoing Dacryocystorhinostomy in Kashmir

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