Endonasal Endoscopic Dacryocystorhinostomy with and Without Stents–A Comparative Study

Nitin, Taba; Uddin, Shams; Paul, Gautam

doi:10.1007/s12070-021-02561-5

Cited by 7 publications

(5 citation statements)

References 27 publications

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“…This is contradictory to the study done by Nitin et al where most of the cases presented with the disease on the left side accounting for 72% of the total cases and 28% had disease on the right side. 18 We evaluated 50 patients, of which 25 patients underwent endonasal DCR with a stent, and 25 patients without a stent. The stent was removed 1 month post surgery.…”

Section: Discussionmentioning

confidence: 99%

A comparative study on outcome of endonasal dacryocystorhinostomy with and without silicone intubation-otorhinolaryngology

Karkare,

Singh

2024

Int J Otorhinolaryngol Head Neck Surg

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Background: Epiphora or “tearing eye” is a functionally and socially, bothersome symptom. Dacryocystitis is an inflammatory condition of the nasolacrimal sac caused due to an obstruction within the nasolacrimal duct (NLD). Dacryocystitis can be classified as acute and chronic or acquired and congenital. Chronic dacryocystitis is almost always managed surgically. The present study was undertaken for comparative study of outcomes of endonasal Dacryocystorhinostomy (DCR) done with and without silicone intubation. Methods: The 50 cases dacryocystitis were selected. The patients were divided in group A cases (with intubation) and group B controls (without intubation) randomly. A detailed history was taken followed by general physical and clinical otorhinolaryngological examination. Patients were evaluated with nasal endoscopy, DCG (Dacrocystogram), through which site of obstruction was located. Results: In our study, Among the cases 18 subject presented with right dacryocystitis and 7 with left dacryocystitis. Similarly, among the controls, 20 subjects presented with right dacryocystitis and 5 presented with left dacryocystitis. According to modified Likert’s score, at the end of 6 months when a nasal endoscopy was done along with syringing 96% of the cases had patent rhinostomy while only 80% of the controls showed patency. Post operative epistaxis was evident in 6 cases and 4 controls. Conclusions: Endonasal DCR with and without stenting, had more or less similar results, with equal post op complications. Though, with stenting, success rates were high as shown in our study.

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Section: Discussionmentioning

confidence: 99%

A comparative study on outcome of endonasal dacryocystorhinostomy with and without silicone intubation-otorhinolaryngology

Karkare,

Singh

2024

Int J Otorhinolaryngol Head Neck Surg

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“…Similar to the treatment of choanal atresia, the use of silicone stents, both in external and endoscopic DCR, is controversial. In some centers, their use is systematic; in others, they are targeted and used only when canal stenosis is suspected or during revision surgery [38]. The goal is to ensure permanent patency of the DCR ostium.…”

Section: Therapymentioning

confidence: 99%

“…Ähnlich wie bei der Therapie der Choanalatresien wird der Einsatz von Silikonstents, sowohl bei der externen als auch bei der endoskopischen DCR, kontrovers diskutiert. In einigen Zentren erfolgt der Einsatz systematisch, in anderen gezielt und nur bei Verdacht auf eine Kanalstenose oder bei Revisionsoperationen [38]. Ziel ist es, die dauerhafte Durchgängigkeit des DCR-Ostiums zu gewährleisten.…”

Section: Prognoseunclassified

Pädiatrische Rhinologie

Hackenberg,

Renson,

Röseler

et al. 2024

Laryngorhinootologie

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ZusammenfassungDer folgende Übersichtsartikel beleuchtet Schwerpunkte der pädiatrischen Rhinologie, die aktuell in der Wissenschaft und auf Tagungen sowie in der interdisziplinären Diskussion zwischen Hals-Nasen-Ohren-Heilkunde und Pädiatrie federführend thematisiert werden. Im Speziellen werden angeborene Fehlbildungen wie die Choanalatresie oder die nasalen Dermoidzysten diskutiert. Des Weiteren folgt eine Stellungnahme zum aktuellen Vorgehen bei sinugenen orbitalen Komplikationen sowie zur Diagnostik und Therapie der chronischen Rhinosinusitis bei Kindern. Im Besonderen folgen Updates zur Aufgabe des Hals-Nasen-Ohren-Arztes bei der Betreuung von Kindern mit zystischer Fibrose und Primärer Ziliendyskinesie.

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“…Surgical failures primarily stem from scarring and the healing and sealing of the osteotomy site due to cicatrization [2][3] . The use of antifibrotic agents such as mitomycin C can potentially improve success rates by preventing cicatrix formation and scarring through their wound-modifying effects [4][5][6][7] . A Meta-analysis on mitomycin C's efficacy in both external and endoscopic DCR has confirmed its safety and effectiveness in reducing osteotomy closure rates [5][6] .…”

Section: Introductionmentioning

confidence: 99%

Efficacy of adjuvant mitomycin-C and triamcinolone-impregnated nasal packing for endoscopic dacryocystorhinostomy

Kim,

Ahn

2024

Int J Ophthalmol

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AIM: To compare the success rate and complications of adjuvant use of mitomycin C and triamcinolone- impregnated biodegradable nasal packing (TABP) in endoscopic dacryocystorhinostomy (DCR). And to evaluate the efficacy of combining intraoperative mitomycin C and TABP for endoscopic DCR. METHODS: A total of 198 eyes of 148 patients who underwent endoscopic DCR for acquired nasolacrimal duct obstruction were retrospectively analysed. The patients were randomly divided into three groups: Group A included patients treated without intraoperative mitomycin C but with TABP, Group B included patients treated without triamcinolone but with intraoperative mitomycin C and normal saline-impregnated nasal packing, and Group C included patients treated with intraoperative mitomycin C and TABP. RESULTS: The results revealed no significant difference in the overall success rates between Groups A (86.8%) and B (89.2%; P=0.377). However, Group C (97.5%) showed a significantly higher overall success rate than Groups A and B. The incidence of granulomas was significantly lower in group C (5%) than in Groups A (20.8%) and B (15.2%; P=0.009). Other complications, such as crust, synechiae, and revision surgery, did not differ significantly among the three groups. CONCLUSION: The combination of intraoperative mitomycin C and TABP effectively prevents granulomas and enhances surgical success rate. Additionally, there is no statistically significant difference observed between the use of mitomycin C or TABP alone.

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Endonasal Endoscopic Dacryocystorhinostomy with and Without Stents–A Comparative Study

Cited by 7 publications

References 27 publications

A comparative study on outcome of endonasal dacryocystorhinostomy with and without silicone intubation-otorhinolaryngology

A comparative study on outcome of endonasal dacryocystorhinostomy with and without silicone intubation-otorhinolaryngology

Pädiatrische Rhinologie

Efficacy of adjuvant mitomycin-C and triamcinolone-impregnated nasal packing for endoscopic dacryocystorhinostomy

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