Immediate Endoscopic Dacryocystorhinostomy in Patients With New Onset Acute Dacryocystitis

Yu, Bo; Tu, Yunhai; Zhou, Guangming; Hong, Huifeng; Wu, Wencan

doi:10.1002/lary.29693

Cited by 10 publications

(27 citation statements)

References 25 publications

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“…Endoscopic DCR was performed in some patients during acute stage as well, and the long term follow up did not show any re-stenosis and the technique was not unduly challenging. This is in keeping with current evidence (Amadi, 2017) (Yu et al, 2021).…”

Section: Patients With Acute Dacrocystitis and Pyo-mucocelesupporting

confidence: 92%

Endoscopic dacryocystorhinostomy (EDCR) – A single group experience in an evolving technique and a review of literature

Lakshan

Drahaman²,

Perera³

et al. 2020

J. Coll. Ophthal. SL

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Introduction: Endoscopic dacrocystorhinostomy (EDCR) is increasingly becoming a popular method of treating distal nasolacrimal duct obstruction (NLDO) in the modern era. In this article, through literature review and personal expeirience, we plan to recommend a management protocol mainly concentrating on surgical technique. Secondarily, we would also like to make the case for EDCR over traditional DCR as both techniques have comparable success rates. Objective: To detail surgical technique with emphasis on evolution of surgical steps citing the literature pertaining to various methods.Methods: A literature review was carried out using keywords endoscopic DCR and dacryocystorhinostomy techniques. In a retrospective study, EDCR case data was collected concentrating on surgical methods used. The data was then analysed using the Microsoft excel statistical analysis package.Results: Details of 136 cases were assessed from the period between 2008 to 2021. 9 key surgical steps of the procedure were identified.Discussion: Highlights of recommendations include performing a 'first look' endoscopy before starting the surgical procedure, optional usage of the 'light pipe' during sac exposure, complete removal of the sac and sending it for histology, duct stenting is useful particularly in younger patients and post-operative local application of triamcinolone in prevention of granulations at the surgical site.

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Section: Patients With Acute Dacrocystitis and Pyo-mucocelesupporting

confidence: 92%

Endoscopic dacryocystorhinostomy (EDCR) – A single group experience in an evolving technique and a review of literature

Lakshan

Drahaman²,

Perera³

et al. 2020

J. Coll. Ophthal. SL

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“…All procedures were executed by a single surgeon (Z.L.) referring to a described method 10–12 . In short, patients first received general anesthesia.…”

Section: Methodsmentioning

confidence: 99%

Comparison of Endoscopic Dacryocystorhinostomy Outcomes With or Without Bicanalicular Silicone Tube Intubation in Acquired Lacrimal Sac Mucocele

Lan,

Yu,

et al. 2023

Journal of Craniofacial Surgery

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Purpose: This paper was established to validate the necessity of bicanalicular silicone tube intubation (BSTI) in patients with acquired lacrimal sac mucocele (ALSM) receiving endoscopic dacryocystorhinostomy (DCR). Methods: In total, 92 patients (92 eyes) diagnosed with ALSM undergone endoscopic DCR from November 2016 to December 2021 were recruited for our research. Patients were allocated into 2 equal treatment groups: group A (patients undergoing BSTI) and group B (patients not receiving this procedure). The tubes were removed 2 months postoperation in group A. Surgical outcomes and related complications were evaluated 12 months postoperation. Results: Ultimately, this study included 83 patients with ALSM, consisting of 43 patients in group A and 40 patients in group B. All patients exhibited notable mass shrinkage with the opening of the lacrimal sac during the surgery and the swelling in the lacrimal sac area was completely relieved within 5 days postoperation. At the 12-month follow-up, no distinct difference was observed in the anatomic success rate between the 2 groups (group A: 93.0%; group B: 90.0%) (t = 0.010, P > 0.05). However, patients in group A presented higher functional success rates (90.7%) in contrast to those patients in group B (72.5%) (t = 4.635, P < 0.05). In both groups, the failure of the lacrimal passage reconstruction was attributed to granulation tissue formation or scar formation at the ostium. No sac mucocele recurrence occurred during the follow-up. Conclusion: Endoscopic DCR treatment for ALSM achieves satisfactory postoperative effects without recurrence, and BSTI may improve the functional success rate.

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“…4 Yu and colleagues, in a randomized clinical trial on patients with acute dacryocystitis that underwent endoscopic DCR, found a higher anatomical success rate in patients operated within 2 days compared to those that operated within 3-5 days with earlier resolution of infection and no added complication. 18…”

Section: Surgical Successmentioning

confidence: 99%

“…4 Yu et al in a randomized clinical trial compared urgent (operated within 2 days) to early (operated 3-5 days) endoscopic DCR in patients with acute dacryocystitis. 18…”

Section: Time Frame For Early Endoscopic Surgerymentioning

confidence: 99%

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Very early endoscopic DCR in acute suppurative dacryocystitis perspective

Pakdel

2022

IJCEO

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Acute dacryocystitis is not uncommon in oculofacial and general ophthalmology clinics admissions. It happens with sudden inflammation of lacrimal sac that frequently occurs in the setting of pre-existing nasolacrimal duct obstruction. Long standing tear flow stasis results in change of bacterial flora and bacterial over-growth in the lacrimal sac as a reservoir of stagnant tear., However, acute dacryocystitis can be associated with dacryoliths or indefinite pre-existing anatomic nasolacrimal duct obstruction.

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Immediate Endoscopic Dacryocystorhinostomy in Patients With New Onset Acute Dacryocystitis

Cited by 10 publications

References 25 publications

Endoscopic dacryocystorhinostomy (EDCR) – A single group experience in an evolving technique and a review of literature

Endoscopic dacryocystorhinostomy (EDCR) – A single group experience in an evolving technique and a review of literature

Comparison of Endoscopic Dacryocystorhinostomy Outcomes With or Without Bicanalicular Silicone Tube Intubation in Acquired Lacrimal Sac Mucocele

Very early endoscopic DCR in acute suppurative dacryocystitis perspective

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