Impact of Endoscopic Dacryocystorhinostomy on Sinonasal Quality of Life

Miyake, Marcel M.; Gregório, Luciano Lobato; Freitag, Suzanne K.; Lefebvre, Daniel R.; Gray, Stacey T.; Holbrook, Eric H.; Bleier, Benjamin S.

doi:10.2500/ajra.2016.30.4332

Cited by 15 publications

(11 citation statements)

References 15 publications

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“…Miyake et al evaluated the impact of EDCR on sinonasal quality of life and reported that nasal symptom scores returned to baseline levels within 30 to 90 days following EDCR surgery. 16 Although many novel surgical techniques have been applied to bolster EDCR success rates, a number of factors can influence these rates. One challenge that can hamper EDCR procedures is the accurate localization of the lacrimal sac.…”

Section: Discussionmentioning

confidence: 99%

Assessment of Long-Term Outcomes Associated With a Lobulated Pedicled Nasal Mucosa Flap Technique for Endoscopic Dacryocystorhinostomy Without Stenting

2020

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Objective: This study describes a surgical approach wherein a lobulated pedicled nasal mucosa flap technique was employed for endoscopic dacryocystorhinostomy (EDCR) as a means of treating nasolacrimal duct obstructions. This study also assessed the long-term outcomes of this EDCR approach when implemented without stenting. Methods: This was a retrospective study of a total of 63 patients (67 eyes) treated for nasolacrimal duct obstructions between January 2011 and November 2016. All patients had undergone ophthalmic diagnosis followed by EDCR treatment using a lobulated pedicled nasal mucosa flap without stenting. Patients were then monitored for both anatomical patency and sustained symptom relief during the follow-up period in order to assess objective and subjective study outcomes. Results: Patients were followed for a mean of 25.3 ± 1.2 months (range: 24-28 months), with a 100% anatomical patency success rate (67/67) and a 94.03% symptomatic cure rate (63/67). There were no instances of complications. Conclusions: The use of a lobulated pedicled nasal mucosa flap technique for EDCR without stenting is a straightforward, effective, and safe approach that keeps bone exposure to a minimum while offering a high rate of satisfactory outcomes, making it a procedure worthy of consideration as a means of treating patients suffering from nasolacrimal duct obstructions.

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Section: Discussionmentioning

confidence: 99%

Assessment of Long-Term Outcomes Associated With a Lobulated Pedicled Nasal Mucosa Flap Technique for Endoscopic Dacryocystorhinostomy Without Stenting

2020

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“…Increasingly, as a result, greater emphasis is being placed on measuring patients' perception of postoperative benefit when assessing the outcome of a particular surgical procedure. 3,8,9 There are a number of articles in the literature that focus on the measurement of quality-of-life (QOL) improvement after DCR. 1,3,8–11 The Lacrimal Symptom Questionnaire (Lac-Q) is a well-validated questionnaire developed by Mistry et al , 12 and focuses on assessing the improvement (or lack of improvement) of lacrimal symptomatology as well as the social impact after a DCR.…”

mentioning

confidence: 99%

Comparison between Endoscopic and External Dacryocystorhinostomy by Using the Lacrimal Symptom Questionnaire: A Pilot Study

Wong

Dean²,

Nair

2018

Am J Rhinol�Allergy

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Our study indicated that both endonasal and external DCR can lead to improvement in quality of life by using a validated questionnaire. Although there are differences in age and anatomic success rates between the two groups, subgroup analyses indicated that the differences in the Lac-Q scores persisted when age and anatomic patency were removed as potential confounding factors. Further larger, randomized studies would be helpful.

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“…Miyake et al evaluated the impact of End-DCR on sinonasal quality of life using a disease-specific validated sinonasal outcomes test, and the authors reported that nasal symptom scores returned to baseline levels within 30 to 90 days of End-DCR surgery. 12 Surgeons who perform DCR using a stent consider the stent as a tool that helps keep the tract and the rhinostomy patent. To determine the relationship between the utilization of stents and DCR success, multiple studies have been performed.…”

Section: Discussionmentioning

confidence: 99%

Endoscopic-Powered Dacryocystorhinostomy Without Stenting: Long-term Outcomes of 120 Procedures

Ciğer

Balci

Arslanoğlu

et al. 2018

Am J Rhinol�Allergy

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Background The necessity of silicone stenting in endoscopic dacryocystorhinostomy (DCR) procedures is a controversial subject in the literature. Objective The purpose of the present study is to assess the long-term anatomical and functional outcomes of endoscopic-powered DCR (EP-DCR) without stenting or mucosal flaps. Methods One hundred twenty EP-DCR procedures were performed in 107 patients. Anatomical success was defined as a patent ostium on irrigation and functional success as free flow of dye from the ostium and resolution of epiphora. Results The mean follow-up was 46.5 months (range: 24-87). Of the 120 procedures, 13 were bilateral and 94 were unilateral. Anatomical and functional success rates of 92.5% were obtained. Conclusion EP-DCR without stenting is a safe and economic technique that provides satisfactory long-term results and could be considered as the treatment of choice for patients with postsaccal nasolacrimal duct obstruction.

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Impact of Endoscopic Dacryocystorhinostomy on Sinonasal Quality of Life

Cited by 15 publications

References 15 publications

Assessment of Long-Term Outcomes Associated With a Lobulated Pedicled Nasal Mucosa Flap Technique for Endoscopic Dacryocystorhinostomy Without Stenting

Assessment of Long-Term Outcomes Associated With a Lobulated Pedicled Nasal Mucosa Flap Technique for Endoscopic Dacryocystorhinostomy Without Stenting

Comparison between Endoscopic and External Dacryocystorhinostomy by Using the Lacrimal Symptom Questionnaire: A Pilot Study

Endoscopic-Powered Dacryocystorhinostomy Without Stenting: Long-term Outcomes of 120 Procedures

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