Long-Term Follow-Up of External Dacryocystorhinostomy and the Factors Affecting Its Success

Erdöl, Hidayet; Akyol, Nurettin; Imamoğlu, Halil İbrahim; Sözen, Engin

doi:10.1080/01676830590926693

Cited by 60 publications

(46 citation statements)

References 23 publications

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“…There is a significant inverse correlation between DCR success-rate and length of follow-up. 15 Variables have been highlighted in the present study that surgeons may wish to consider when counseling and treating patients with dacryocystitis, and these topics deserve further review.…”

Section: Discussionmentioning

confidence: 99%

“…9,[11][12][13][14][15] Of the 7 cases of recurrent dacryocystitis after DCR, 2 were associated with MRSA infection, 2 were associated with Gram-negative bacteria, 2 carried an associated diagnosis of lymphoma, 2 demonstrated very dense fibrosis of the lacrimal sac on histopathology, 1 had background pansinusitis demonstrated on CT, 1 had a history of inflammatory bowel disease; 1 had a history of prior endoscopic DCR performed 3 years previously; and 1 had a loss of canalicular stents relatively early in the postoperative course. Only case 2 had no associated systemic illnesses or perioperative events to possibly explain an increased risk of recurrence, although this case did not have cultures or biopsy performed, and it is therefore possible that an underlying causative pathology could have been missed.…”

Section: Discussionmentioning

confidence: 99%

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External dacryocystorhinostomy outcomes in patients with a history of dacryocystitis

et al. 2015

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Purpose-To investigate nonidiopathic causes of external dacryocystorhinostomy (DCR) failure.Methods-The medical records of all patients with acute or chronic dacryocystitis who underwent external dacryocystorhinostomy performed by the senior author over a 5-year period were retrospectively reviewed, with attention to microbiology, pathology, and associated medical and history.Results-A total of 52 lacrimal systems of 49 patients were included, with a minimum follow-up of 2 months (average, 15.5 months). Surgical success was achieved in 42 systems (87%). Of 7 failures, 6 had a condition potentially associated with an increased risk of failure, including MRSA infection, Gram-negative infection, rhinosinusitis, lymphoma, inflammatory bowel disease, and early loss of lacrimal stents.Conclusions-External DCR is a successful procedure for the treatment of nasolacrimal obstruction associated with dacryocystitis. Various factors may affect surgical success, and awareness of these factors may enable better patient counseling and surgical planning.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

External dacryocystorhinostomy outcomes in patients with a history of dacryocystitis

et al. 2015

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“…This variability in success rate is likely due to patient demographic and lack of standardized outcome measures. Only a few earlier studies examined the effect of past dacryocystitis on the success rate of external DCR [2] .Their reported success rate ranges from 69% to 88%. According to our clinical experience, the success rate of DCR for patients with or without previous episode of chronic or acute dacryocystitis should be similar.…”

Section: Introductionmentioning

confidence: 99%

Frequency of Chronic Dacryocystitis and Surgical Outcome of External dacryocystorhinostomy in and Around Moradabad

Mehrotra¹,

Chauhan²

2017

AIMDR

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Background: External DCR is the standard treatment for NLDO with previous history of chronic dacryocystitis. Our current study presents series of patients with previous episodes of chronic dacryocystitis who underwent external dacryocystorhinostomy (DCR) for nasolacrimal duct obstruction (NLDO) and compare their pre-operative characteristics, post-operative outcome and surgical success rate. Methods: This hospital based prospective and interventional case series of 60 patients with chronic dacryocystitis due to nasolacrimal duct obstruction (NLDO) who were treated by means of external DCR was taken up for study. Surgery was done between June 2015 and December 2015 and the patients were followed up for next 6 months. Results: During the study period 60 patients with NLDO underwent external DCR of whom 38 (63.33%) were females and 22 (36.66%) were males. Mean age was 44. 93 ± 15 years. Chronic dacryocystitis due to NLDO was found in 50 patients (84%) while rest 10 (16%) had other reasons. An overall success rate of external DCR was 88.6% in patients with chronic dacryocystitis. Mean post operative follow up time was 180 days. Conclusion: No significant difference in the success rate of External DCR in patients with or without previous history of dacryocystitis.

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“…The success of external DCR varies between 80 and 99% depending on the experience of the surgeon (3)(4)(5). The most common reasons for failure of external DCR are canalicular obstruction and incorrect size or location of the bone window (6,7).…”

Section: Introductionmentioning

confidence: 99%

Evaluation Of Intranasal Ostium In External Dacryocystorhinostomy

Tök¹,

Kocaoğlu²,

Ünlü³

et al. 2010

TUTFD

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Objective: The investigation of factors affecting the dimension and configuration of the intranasal ostium in successful external dacryocystorhinostomy (DCR).Material and Methods: Fifty-one patients were enrolled within this study. During operation, dimensions of bone window were measured. In the postoperative sixth month, changes in bone window size were evaluated using spiral paranasal tomography, and the intranasal ostium was examined with nasal endoscopy.Results: There were 19 patients who underwent DCR and 32 patients who underwent DCR+silicone tube intubations (SI). The mean bone window size was 214.37 mm 2 during operation and 214.87 mm 2 after six months. The mean intranasal ostium size was measured as 51.42 mm 2 for patients who had undergone DCR and 28.66 mm 2 for the DCR+SI cases. The endoscopic appearance of the ostium was observed as oval or round for the DCR cases and in slit form for the DCR+SI cases. A multiple logistic regression model showed that silicon tube intubation posed an 11 times greater risk for configuration distortion in the intranasal ostium (p=0.0079). Conclusion:Postoperative intranasal ostium size has a relation with the intraoperative bone window size. The difference of mean intranasal ostium sizes of DCR and DCR+SI cases was not statistically significant. However, because SI gives rise to ostium configuration by triggering fibrosis, it should not be carried out unless absolutely necessary.

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Long-Term Follow-Up of External Dacryocystorhinostomy and the Factors Affecting Its Success

Cited by 60 publications

References 23 publications

External dacryocystorhinostomy outcomes in patients with a history of dacryocystitis

External dacryocystorhinostomy outcomes in patients with a history of dacryocystitis

Frequency of Chronic Dacryocystitis and Surgical Outcome of External dacryocystorhinostomy in and Around Moradabad

Evaluation Of Intranasal Ostium In External Dacryocystorhinostomy

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