Endoscopic dacryocystorhinostomy among the old and oldest-old populations - A case control study

Endoscopic and external dacryocystorhinostomy: A therapeutic proposal for distal acquired lacrimal obstructions

“…Specifically, in a group of patients aged between 65 and 80 years and older than 80 years, the END-DCR success rate was comparable to patients younger than 65 years, such that the endoscopic procedure should be considered equally efficacious to EXT-DCR in this particular category of patients. 33 …”

“…Moreover, older age should not determine, by itself, the indication to EXT-DCR, unless the patient's comorbidities are such as to suggest local anesthesia. 33 The fear of a visible facial scar, however, should be less emphasized in the elderly and patients with non-pigmented skin, since the percentage of unesthetic scars in this group is extremely low. 9 Concerning the limits of the present review, the main ones are ascribable to the nature of the studies found in the literature, which are primarily unblinded and nonrandomized, and sub-analyses for specific individual conditions (i.e., nasal anatomical abnormalities) have not been performed; in addition, the heterogeneity in preand post-surgical management, the device used, and the therapy prescribed may limit the generalizability of the results.…”

“…Specifically, in a group of patients aged between 65 and 80 years and older than 80 years, the END-DCR success rate was comparable to patients younger than 65 years, such that the endoscopic procedure should be considered equally efficacious to EXT-DCR in this particular category of patients. 33 END-DCR is commonly described to have advantages, compared to EXT-DCR, such as the absence of external scar, less surgical time, earlier recovery, and fewer postoperative complications. 7 On the other hand, the cost of endoscopic instrumentation, marked learning curve, necessity of two specialists (one otolaryngologist and one ophthalmologist) or one highly trained, and the impossibility of concomitant treatment of proximal lacrimal pathologies, have limited use of an endoscopic approach in past decades.…”

Delayed unilateral pneumocephalus after bilateral endoscopic dacryocystorhinostomy in an elderly patient

“…Therefore, due to shorter operation time and recovery period, many elderly undergo DCR, and a few studies have focused on the success rate among older population. [5][6][7] Tessler et al found that the safety and longterm outcomes of the elderly are comparable with younger patients. 5 On contrary, some studies revealed that the rate of revision surgery and risk of serious complication were higher in older patients.…”

“…[5][6][7] Tessler et al found that the safety and longterm outcomes of the elderly are comparable with younger patients. 5 On contrary, some studies revealed that the rate of revision surgery and risk of serious complication were higher in older patients. 6 7 Although regarded as a relatively safe procedure, there is some degree of consensus to approach elderly population with caution during and after endoscopic surgery.…”