Endoscopic guided single self-linking silicone stent in pediatric external dacryocystorhinostomy

Ali, Mohammad Javed; Gupta, Himika; Naik, Milind N.; Honavar, Santosh G

doi:10.3109/13645706.2012.742114

Cited by 14 publications

(9 citation statements)

References 16 publications

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“…Three studies did not report the complication rate. [31] Complete resolution of symptoms, negative dye disappearance test 75 Early tube loss Okumus, 2016 [32] Complete resolution of previous signs and symptoms and DDT grade 0-1 73.3 None Orhan, 1997 [33] Resolution of symptoms and previous signs 100 Epiphora with tubes in place Eshraghi, 2014 [34] Complete resolution or partial improvement 82.6 None Ali, 2013 [35] Resolution of symptoms 91 NR Engel, 2007 [10] Good clearance of fluorescein dye and/or absence of symptomatic testing 96 Conjunctival-corneal abrasion Dotan, 2015 [36] Complete resolution of all preoperative CNLDO symptoms and signs 85 Spontaneous tube loss El-Essawy, 2013 [37] Complete resolution of symptoms, no epiphora, no discharge, no increase tear lake 82.2 Cheesewiring of canaliculi, late postoperative granuloma formation Fayet, 2012 [38] Absence of symptoms after stent removal or loss 85 Keratitis, tube loss, epiphora with tubes in place Casady, 2006 [7] Complete resolution of symptoms 100 None Eloy, 2009 [39] Complete resolution of symptoms 90 Transient slight epiphora Han, 2015 [40] Disappearance of epiphora symptoms by a minimum of 2 months 89.6 Tube prolapse, tube loss Nemet, 2008 [41] Objective confirmation of free fluorescein flow to the nose 95.2 Jones tube placement Napier, 2016 [42] Complete resolution of symptoms and signs 91.…”

Section: Discussionmentioning

confidence: 99%

The Use of Stents in Children with Nasolacrimal Duct Obstruction Requiring Surgical Intervention: A Systematic Review

Tai

Kueh

Abdullah

2020

IJERPH

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Nasolacrimal duct obstruction (NLDO) is the most common cause of childhood epiphora. It is managed conservatively in the first year of life, after which surgical treatment is classically based on a stepwise paradigm of probing, intubation, and dacryocystorhinostomy. This systematic review aims to present the current role of intubation in the management of children with NLDO requiring surgical intervention. A search for English-language articles from the electronic databases PubMed, SCOPUS, and the COCHRANE library was conducted over a period of five months in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines and the Cochrane Handbook. The following keywords were used to aid retrieval: stents, children, lacrimal intubation, endoscopic dacryocystorhinostomy, external dacryocystorhinostomy, NLDO, dacryocystitis, congenital, acquired. The primary outcome was defined as the success of the intervention, determined by resolution of symptoms and patency of the lacrimal anatomy confirmed by the fluorescein dye disappearance test or syringing. Secondary outcomes included the presence of complications. A total of 144 articles were identified; of these, 35 fulfilled the study criteria. The majority of the included studies involved lacrimal intubation alone, followed by intubation as an adjunctive procedure to balloon dacryoplasty and dacryocystorhinostomy. The overall success rate of these procedures ranged from 41.1% to 100%. Post-operative complications were reported in 65.7% of the included studies. Lacrimal intubation was most commonly performed as a primary procedure in children with NLDO, with high success rates. The main complication was stent dislodgement. There is lack of evidence regarding the benefit of intubation over probing as primary treatment of congenital NLDO. In the absence of high-quality evidence, the decision of whether to perform lacrimal intubation in children with NLDO requiring surgical intervention depends on clinical judgement and other low-level evidence, such as observational non-randomised trials.

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Section: Discussionmentioning

confidence: 99%

The Use of Stents in Children with Nasolacrimal Duct Obstruction Requiring Surgical Intervention: A Systematic Review

Tai

Kueh

Abdullah

2020

IJERPH

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“…19,20 However, silicone intubation is a less invasive procedure compared with external or endonasal DCR. According to our results, in older children with persistent CNLDO, silicone intubation procedure may reduce the need for DCR, which has greater morbidity.…”

Section: Discussionmentioning

confidence: 99%

Nasolacrimal duct intubation in the treatment of congenital nasolacrimal duct obstruction in older children

Okumuş

Öner

Durucu

et al. 2015

Eye

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“…To date, reopening of the NLD has only been analyzed in small case series. Previous studies have already demonstrated that this modification is feasible and does not lead to increased complications 9 , 10 , 16 . The results from our survey, which represents the first ever comparison between the two surgical methods, reveals that surgical success is similarly good in both cases, and that neither technique is clearly superior to the other.…”

Section: Discussionmentioning

confidence: 90%

“…With this approach, Bartley also made a conscious attempt to prevent scarring of the NLD after dacryolith extraction [9]. In two further case series, each comprising 11 ELD, Hui et al and Ali et al investigated the advantages of keeping the NLD open [10,16]. The Hui et al study investigated the influence of a dual loop technique passing through the NLD and the osteotomy.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Transkutane (externe) Dakryozystorhinostomie mit Rekonstruktion des Ductus nasolacrimalis

Heichel,

Dettmer,

Paulsen

et al. 2023

Klin Monbl Augenheilkd

Self Cite

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Zusammenfassung Hintergrund Die Dakryozystorhinostomie (DZR) gilt als der Goldstandard für die Behandlung der chronischen Dakryozystitis (CDZ). Verschiedene Modifikationen der Operationstechnik haben sich über viele Jahre ergeben. Methoden Es handelt sich um eine retrospektive Beobachtungsstudie. Eingeschlossen wurden Patienten, die bei CDZ infolge postsakkaler TNW-Stenose (TNW: ableitende Tränenwege) eine DZR erhielten. Die Operationsmodifikationen beinhalteten eine DZR mit TNW-Intubation zur Osteotomie (Gruppe 1) und eine DZR mit Eröffnung des Ductus nasolacrimalis (DNL) und TNW-Intubation nach Ritleng (Gruppe 2). Als Erfolgskriterien wurden die Abwesenheit einer permanenten Epiphora, das Sistieren von Entzündungszeichen (funktioneller Erfolg) sowie das Ausbleiben einer Rezidivoperation bei vorhandener Spülbarkeit definiert (anatomischer Erfolg). Dies wurde durch eine Fragebogenerhebung überprüft. Das postoperative Follow-up musste > 12 Monate betragen. Der Einfluss von Geschlecht, Tränensackektasie, Dakryolithen und Voroperationen an den TNW wurde analysiert. Ergebnisse Es wurden 248 TNW in die Studie eingeschlossen. In Gruppe 1 betrug das mittlere Patientenalter 68 Jahre (Spanne: 22 – 92 Jahre) bei einem Geschlechterverhältnis von 3,2 : 1 (w : m). In dieser Gruppe konnten 68 TNW nachbeobachtet werden. Das mittlere Patientenalter in Gruppe 2 lag bei 63 Jahren (Spanne: 24 – 89 Jahre) mit einer Geschlechterverteilung von 2,9 : 1 (w : m). Eine Nachbeobachtung war in dieser Gruppe bei 62 TNW möglich. Es zeigte sich ein vollkommener Operationserfolg (alle Kriterien betreffend) von 75% in Gruppe 1 und 75,8% in Gruppe 2. Eine permanente Epiphora lag in Gruppe 1 bei 3,8% und in Gruppe 2 bei 2,9% der TNW vor. Eine Rezidivoperation wurde in Gruppe 1 bei 5,9% (n = 4) und in Gruppe 2 bei 1,6% (n = 1) erforderlich (p = 0,368). Geschlecht (Gruppe 1: p = 1; Gruppe 2: p = 0,115; Gruppenvergleich: p = 0,511), Tränensackektasie (Gruppe 1: p = 0,877; Gruppe 2: p = 0,674; Gruppenvergleich: p = 0,878), Dakryolithen (Gruppe 1: p = 1; Gruppe 2: p = 0,465; Gruppenvergleich: p = 1) und Voroperationen an den TNW (Gruppe 1 p = 0,092; Gruppe 2 p = 0,051; Gruppenvergleich p = 0,520) stellten innerhalb der Gruppen und im Gruppenvergleich keine signifikanten Einflussfaktoren da. In der Gruppe 2 ließen sich signifikant häufiger Dakryolithen nachweisen (p = 0,010). Schlussfolgerung Die Rekonstruktion des DNL im Rahmen einer DZR ist eine zusätzliche Modifikation, die ein tendenziell besseres Operationsergebnis hinsichtlich der Behandlung einer CDZ ermöglicht. Intraoperativ kann Dakryolithenmaterial in den tieferen Anteilen der TNW klinisch inapparent vorliegen weshalb eine Inspektion dieser Abschnitte erfolgen sollte.

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Endoscopic guided single self-linking silicone stent in pediatric external dacryocystorhinostomy

Abstract: Self-linking stents are a useful modality in pediatric patients not only to prevent stent prolapse but also to allow easy removal with minimum discomfort. Endoscopic guidance is a useful addition to this technique.

Cited by 14 publications

References 16 publications

The Use of Stents in Children with Nasolacrimal Duct Obstruction Requiring Surgical Intervention: A Systematic Review

The Use of Stents in Children with Nasolacrimal Duct Obstruction Requiring Surgical Intervention: A Systematic Review

Nasolacrimal duct intubation in the treatment of congenital nasolacrimal duct obstruction in older children

Transkutane (externe) Dakryozystorhinostomie mit Rekonstruktion des Ductus nasolacrimalis

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