Endoscopic-guided trephination dacryocystorhinostomy (hesham DCR) Technique and pilot trial

Ibrahim, Huda

doi:10.1016/s0161-6420(01)00813-2

Cited by 19 publications

(7 citation statements)

References 31 publications

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“…We did not see any patient of paediatric age group. Our data correlate well with studies of Ibrahim et al [4]. There was a declining trend towards both extreme of age.…”

Section: Discussionsupporting

confidence: 93%

“…This may be due to the fact that amount of lacrimal secretion is less in extreme of age. During our study male and female ratio was found 1:3 and our data correlate well with studies of Heikki et al [5] and Ibrahim et al [4]. Chronic dacryocystitis had been observed to be more common in women of low socioeconomic group due to their bad personal habits, long duration of exposure to smoke in kitchen and dust in external environment.…”

Section: Discussionsupporting

confidence: 92%

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Endonasal Dacryocystorhinostomy with Mucosal Flaps: Our Experience

Majumder

Singh

Das

et al. 2012

Indian J Otolaryngol Head Neck Surg

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The endoscopic dacryocystorhinostomy (DCR) has distinct advantage over external DCR. There is no ugly scar on the face, less intraoperative bleeding, it is a daycare procedure and patient is discharged on the same day evening. Endoscopic DCR is considered to be a superior alternative technique to the conventional external DCR. Patients diagnosed with nasolacrimal duct obstruction between Jan 2009 and Jan 2011 were included in the study. One hundred and twenty endo DCR were performed with conventional 'cold steel' instruments. The technique involved complete exposure and marsupialization of the lacrimal sac. The surgical technique involved the creation of nasal mucosal and large posterior lacrimal flaps at the medial lacrimal sac wall and the two flaps were placed in close apposition. Success was defined as complete resolution of epiphora and a patent lacrimal system, evaluated by lacrimal irrigation and endoscopy, 1 year postoperatively.

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“…We did not see any patient of paediatric age group. Our data correlate well with studies of Ibrahim et al [4]. There was a declining trend towards both extreme of age.…”

Section: Discussionsupporting

confidence: 93%

Section: Discussionsupporting

confidence: 92%

Endonasal Dacryocystorhinostomy with Mucosal Flaps: Our Experience

Majumder

Singh

Das

et al. 2012

Indian J Otolaryngol Head Neck Surg

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show abstract

“…During our study male and female ratio was found 1:3 and our data correlate well with studies of Heikki et al 3 and Ibrahim et al 4 Chronic dacryocystitis had been observed to be more common in women of low socio-economic group due to their bad personal habits, long duration of exposure to smoke in kitchen and dust in external environment. In addition to that use of kajal and other cosmetics increase chance of transmission of infection.…”

Section: Discussionsupporting

confidence: 92%

Evaluating the Efficacy of Preserving the Mucosal Flap in Endonasal DCR

Nalluri¹,

Dhulipalla²

2015

jebmh

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INTRODUCTION Endoscopic DCR is routinely performed by otolaryngologists for the treatment of chronic dacryocystitis. However, postoperative stenosis and failure rates are common. OBJECTIVE The objective of our study is to evaluate the role of preserving the mucosal flap in maintaining the patency of neo ostium. The surgical technique involved the creation of nasal mucosal and large posterior lacrimal flaps at the medial lacrimal sac wall and the two flaps were placed in close apposition. Success was defined as complete resolution of epiphora and a patent lacrimal system, evaluated by lacrimal irrigation and endoscopy followed upto 1 year postoperatively. MATERIALS AND METHODS A prosective study was conducted in 60 patients and followed for a duration of 1 year in ENT department,KMC,Guntur RESULTS In our study, Symptomatic and anatomic success was seen in 59 out of 60 operations that is 98% success in syringing patency was seen with this technique, which is comparable to external DCR and better than other endoscopic techniques. CONCLUSION Mucosal flap preservation appears to be the single most important innovation in endoscopic DCR surgery, which makes it comfortable for both the surgeon and patient, apart from providing a 98% success rate in our study.

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“…Most common age group being 31-50 Years. Our data correlates well with studies of Ibrahim et al 8 Success rate was assessed by complete resolution of epiphora and patent lacrimal system which was evaluated by lacrimal syringing and nasal endoscopy.…”

Section: Discussionsupporting

confidence: 90%

Modified Mucosal Flap Technique in Endoscopic Endonasal Dacryocystorhinostomy

Samarapuri¹,

Kavitha²

2019

jebmh

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BACKGROUND The success rate of endonasal dacryocystorhinostomy with the modified flap technique is almost equivalent to that of external dacryocystorhinostomy. In the initial period, the nasal mucosal flap was excised in endoscopic endonasal dacryocystorhinostomy and the ridge of the bony ostium is left uncovered. This leads to outgrowth of the bony ostium which is the commonest cause for failure in endonasal dacryocystorhinostomy. In our modified technique, we have covered the bony ridge with nasal mucosal flap to prevent bony outgrowth and closure of the ostium. The study was performed to evaluate the improvement in success rate following modified mucosal flap technique in endoscopic endonasal dacryocystorhinostomy (DCR).

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Endoscopic-guided trephination dacryocystorhinostomy (hesham DCR) Technique and pilot trial

Cited by 19 publications

References 31 publications

Endonasal Dacryocystorhinostomy with Mucosal Flaps: Our Experience

Endonasal Dacryocystorhinostomy with Mucosal Flaps: Our Experience

Evaluating the Efficacy of Preserving the Mucosal Flap in Endonasal DCR

Modified Mucosal Flap Technique in Endoscopic Endonasal Dacryocystorhinostomy

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