Endonasal balloon dacryoplasty in partial and complete obstruction of dacryocystorhinostomy ostium

Atkova, E.L.; Krakhovetskiy, N.N.; Zhukov, O.V.

doi:10.17116/oftalma202113701113

Cited by 3 publications

(4 citation statements)

References 11 publications

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“…As a result, and the bulge of ostium ori ce will like a "hill", which reduces the caliber of the ostium ori ce undoubtedly. It will not only increase the incidence of ostium closure, but also cause some obstacles to the drainage of tears [23]. As shown in the results of this study, without lacrimal sac decompression, the ostium is prone to adhesion and even atresia.…”

Section: Discussionmentioning

confidence: 71%

Efficacy study of endoscopic dacryocystorhinostomy with decompression of lacrimal sac

Li,

Zhang,

et al. 2024

Preprint

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Objective Study and analyze the clinical effect of endoscopic dacryocystorhinostomy with decompression of lacrimal sac. Methods Prospective randomized controlled trail. 269 patients (302 eyes) with chronic dacryocystitis were diagnosed in Aier eye hospital of Wuhan university from February 2018 to September 2023, and all patients were underwent endoscopic dacryocystorhinostomy. According to the principle of double-blind random sampling, they were divided into two groups before surgery. Group A was treated with decompression of lacrimal sac during the operation, while the lacrimal sac decompression was not performed during operation in group B. Regular follow-up to 6mo postoperative was carried out to count the postoperative efficacy of two groups of patients. Results Five patients (6 eyes) lost to follow-up were removed, a total of 264 patients (296 eyes) were included in the comparative analysis in this study. 136 cases (151 eyes) in the group A were included in the comparative analysis, the cure rate was 82.78%, the improvement rate was 13.25%, the effective rate was 96.03%, and the inefficiency was 3.97%. While in group B, the cure rate of 128 cases (145 eyes) was 62.76%, the improvement rate was 26.90%, the effective rate was 89.66%, and the ineffective rate was 10.34%. The difference in efficacy between the two groups was statistically significant (χ2 = 15.147, P = 0.000). Conclusion Dacryocyst decompression performed during endoscopic dacryocystorhinostomy can improve the efficacy of surgery and reduce the occurrence of complications.

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Section: Discussionmentioning

confidence: 71%

Efficacy study of endoscopic dacryocystorhinostomy with decompression of lacrimal sac

Li,

Zhang,

et al. 2024

Preprint

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“…For the patients who have undergone DCR and nally closed the ostium, on the one hand, the mucosa of the surgery area is different from that of normal patients who have not been operated, on the other hand, such patients can be classi ed into the category of recurrent constitution. As we all know, the formation of a perfect ostium requires the joint action of mucosa and bone [11,18]. Studies have pointed out that when the bone pore is too small or the bone window is low during EE-DCR, the Rosenmüller valve is not exposed, resulting in insu cient ostium space.…”

Section: Discussionmentioning

confidence: 99%

“…After 12 months of treatment, it was found that the ostium between the original nasal cavity and the lacrimal sac ap mucosa healed and closed, and there were: (1) the patient had tears and a little pus; (2) lacrimal passage ushing examination: inject ushing uid into the needle from one lacrimal punctum, and the ushing uid returns to the other lacrimal punctum; (3) CT angiography of lacrimal sac showed that the residual lacrimal sac was small, showing that the horizontal diameter of lacrimal sac was≤2mm, the sagittal diameter was≤4mm, and the vertical diameter was≤8mm [11,15]. Exclusion criteria included:…”

Section: Methodsmentioning

confidence: 99%

“…Over the past 10 years, with the continuous improvement of endoscopic imaging system, ENT micro power system and other medical equipment, EE-DCR is highly recommended in clinic because of its incomparable advantages of Ex-DCR, such as no facial skin incision, minimally invasive and does not affect the function of "tear pump", simultaneous treatment of nasal complications, et al However, so far, the e cacy of EE-DCR has been reported differently, and its losers are not rare [8][9][10]. Research has found that the main reason for the failure of EE-DCR is the atresia of rhinostomy ostium, and the residual lacrimal sac is very small [11][12][13]. When ostium closure occurs, clinical treatment methods are different.…”

Section: Introductionmentioning

confidence: 99%

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Efficacy of Endoscopic Endonasal Common Canaliculorhinostomy for Chronic Dacryocystitis with Small Lacrimal Sac in the Treatment of Failed Patients After EE-DCR

Sha

Zhang

2022

Preprint

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Background: Over the past 10 years, endoscopic endonasal dacryocystorhinostomy (EE-DCR）has a trend to gradually become the mainstream method for the treatment of nasolacrimal duct obstructive diseases , but the failure of EE-DCR is not rare in clinical treatment. Therefore, the study will explore the efficacy of treating patients with EE-DCR failure by endoscopic endonasal common canaliculorhinostomy (EE-CAR), in order to improve the success rate of reoperation in patients with EE-DCR failure. Method: Prospective non-randomized controlled study. Patients with EE-DCR failure caused by lacrimal sac nasal mucosal ostium atresia from April 2018 to January 2021 in Hankou Aier Eye Hospital were enrolled. They were divided into two groups according to the principle of voluntariness before surgery. Group A: underwent EE-CAR. Group B: underwent Endoscopic Endonasal Ostial Openning (EE-OO). The postoperative efficacy and complications of the two groups was compared. Results: 44 patients (48 eyes) were included in the comparative analysis, including 26 eyes in group A and 22 eyes in group B. Followed up at 6 months postoperative, the ostium of 22 eyes in group A remained open and the symptoms of tear overflow disappeared. The success rate of surgery was 84.62% (22/26), and 54.55% (12/22) in group B. There was significant difference between the two groups (P＜0.05). Conclusions: EE-CAR is better than conventional ostium opening in the treatment of patients with small lacrimal sac remnant after EE-DCR due to ostium atresia.

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Disorders of lacrimal drainage: the way from theory to practice

Atkova¹,

Yartsev²,

Krakhovetskiy³

2023

Vestn. oftal'mol.

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Endonasal balloon dacryoplasty in partial and complete obstruction of dacryocystorhinostomy ostium

Cited by 3 publications

References 11 publications

Efficacy study of endoscopic dacryocystorhinostomy with decompression of lacrimal sac

Efficacy study of endoscopic dacryocystorhinostomy with decompression of lacrimal sac

Efficacy of Endoscopic Endonasal Common Canaliculorhinostomy for Chronic Dacryocystitis with Small Lacrimal Sac in the Treatment of Failed Patients After EE-DCR

Disorders of lacrimal drainage: the way from theory to practice

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