Four-year experience with intranasal transilluminating dacryocystorhinostomy using ultrasound

Pelegrinis, Emmanuel; Morphopoulos, Antonis; Georgoulopoulos, G.; Kapogiannis, Kostas; Papaspyrou, Spyros

doi:10.1016/s0008-4182(05)80059-6

Cited by 4 publications

(2 citation statements)

References 20 publications

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“…[15] Other surgical options includes transilluminating intranasal DCR which has the advantages of avoidance of skin incision, reduced bleeding, shorter duration of surgery, and quicker recovery. [16] Our study shows that DCR yields good results in children with NLDO. The procedure is more successful in congenital NLDO than posttraumatic cases.…”

Section: Discussionmentioning

confidence: 50%

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Pattern and outcome of surgical management of nasolachrymal duct obstruction in children: A five year review

Abdu

Salisu

2014

Ann Afr Med

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There were 17 patients, 9 males and 8 females (M: F = 1.1: 1). Two patients (11.8%) had bilateral disease and 15 (88.2%) were unilateral. The patients' ages ranged between 2 and 10 years. The commonest presenting features were tearing and discharge. In 14 patients (82%) tearing started from birth though patients presented much later. Congenital NLDO occurred in 82%, and in the remaining 18%, obstruction was caused by depressed nasal fracture. Fifteen patients (88%) had successful outcome of DCR at 1-year follow-up. The commonest complication noted was stent extrusion before 6 weeks in 17.6% of cases. Conclusion : NLDO was mostly of congenital origin and was characterized by delayed presentation. Patients have good outcome with external DCR.

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Section: Discussionmentioning

confidence: 50%

“…A stent (no. 16 Foley's catheter) was inserted through the nose and guided into the lachrymal sac. Both posterior lips of the sac and nasal mucosa were sutured and then the two anterior lips were sutured.…”

Section: Methodsmentioning

confidence: 99%

Pattern and outcome of surgical management of nasolachrymal duct obstruction in children: A five year review

Abdu

Salisu

2014

Ann Afr Med

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Transillumination-guided endoscopic endonasal dacryocystorhinostomy: Approach to revision cases and challenging anatomy

Vázquez

Blake

Kanumuri

et al. 2014

American Journal of Otolaryngology

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Best treatments available for distal acquired lacrimal obstruction: A systematic review and meta‐analysis

Vinciguerra

Nonis

Resti

et al. 2020

Clinical Otolaryngology

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BackgroundEpiphora is a common clinical sign whose primary cause is post‐canalicular lacrimal obstruction. Treatment is both surgical and non‐surgical. In the literature, there is some evidence to suggest that some treatments are superior to others, but there are no direct comparative data in this regard.Objective of reviewTo analyse the success rates of all available treatments to resolve post‐canalicular acquired lacrimal obstruction.Type of review:Systematic review and meta‐analysis.Search strategy:A literature search was conducted in the US National Library of Medicine (PubMed), EMBASE, SCOPUS and Cochrane databases with a final search performed in January 2020.Evaluation method:The search strategy identified articles published later than 2000 with at least 50 procedures performed both surgically (external dacryocystorhinostomy [EXT‐DCR], endoscopic dacryocystorhinostomy [END‐DCR] and transcanalicular laser dacryocystorhinostomy [TCL‐DCR]) and non‐surgically (balloon dacryoplasty [DCP], probing‐stenting [SP] and polyurethane stent [PoS]). The primary outcome was functional success, defined as symptom resolution or less than MUNK 2 scale; in addition to this, the influence of adjunctive treatments, such as application of mitomycin C and post‐procedural silicone stenting, was evaluated.ResultsIn total, 14 958 papers were selected, 440 of which were reviewed after screening; 55 were included after full‐text review, which involved 9337 procedures. Mean success rate was 48.9% (35.7%‐62.3%) for DCP, 54.4% (41.8%‐66.5%) for SP, 73.6% (59.7%‐84%) for PoS, 80% (75.1%‐84%) for TCL‐DCR, 89.8% (83.3%‐93.9%) for EXT‐DCR and 89.5% (87.2%‐91.5%) for END‐DCR. Among all procedures, a difference was noted between DCP and END‐DCR (P < .001), DCP and EXT‐DCR (P < .001), SP and END‐DCR (P < .001), SP and EXT‐DCR (P < .001), END‐DCR and PoS (P = .016), and END‐DCR and TCL‐DCR (P = .001); no differences were noted between END‐DCR and EXT‐DCR (P = 1.00), EXT‐DCR and PoS (P = .121) and EXT‐DCR and TCL‐DCR (P = .223). Considering surgical procedures, no differences were seen if a silicone stenting was applied, whereas, due to heterogeneity of the literature data, no statistical analysis was feasible for application of mitomycin C.ConclusionsOur analyses suggest that, among all procedures available, END‐DCR and EXT‐DCR should be considered as treatments of choice to resolve distal acquired lacrimal obstruction.

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Four-year experience with intranasal transilluminating dacryocystorhinostomy using ultrasound

Cited by 4 publications

References 20 publications

Pattern and outcome of surgical management of nasolachrymal duct obstruction in children: A five year review

Pattern and outcome of surgical management of nasolachrymal duct obstruction in children: A five year review

Transillumination-guided endoscopic endonasal dacryocystorhinostomy: Approach to revision cases and challenging anatomy

Best treatments available for distal acquired lacrimal obstruction: A systematic review and meta‐analysis

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