Long-Term Results of Simultaneous Bilateral External Dacryocystorhinostomy in Cases with Bilateral Dacryostenosis

Yüksel, Dilek; Akoz, Irem; Şimşek, Şaban

doi:10.3109/08820538.2013.810282

Cited by 9 publications

(12 citation statements)

References 16 publications

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“…Indeed, studies including simultaneous bilateral external DCRs have also been performed with no reports of unfavorable complication rates. 8 Although none of our patients suffered intraoperative ophthalmic injuries, we suggest that the staging of the procedure be considered intraoperatively in the event of ophthalmic injury while operating the first side, in order to avoid potential bilateral visual complications, which may include corneal injury during manipulations, or inadvertent orbital penetration with fat exposure in the surgical field, which could be potentially contaminated by purulent contents of the chronically inflamed lacrimal sac.…”

Section: Discussionmentioning

confidence: 90%

“…Another limitation of the present study is the small sample size attributed to the already low incidence of bilateral disease, which is also seen as a limitation in the recent studies on bilateral DCR. 8 9 30 Therefore, we believe that publishing this experience is necessary to contribute to the body of the work on this subject. Additionally, the current study uniquely addresses the quality of life as well as the stratification in this subset of patients.…”

Section: Discussionmentioning

confidence: 99%

“…Although NLD obstruction can affect the lacrimal drainage systems of both eyes in some patients, 7 it has been an established approach to perform two DCRs in separate settings to bypass one obstruction at a time. 8 Instead of that, a simultaneous procedure has been considered by some surgeons to correct both sides in the same operation. 8 9…”

Section: Introductionmentioning

confidence: 99%

“…8 Instead of that, a simultaneous procedure has been considered by some surgeons to correct both sides in the same operation. 8 9…”

Section: Introductionmentioning

confidence: 99%

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Bilateral Simultaneous Endoscopic Dacryocystorhinostomy: Outcome and Impact on the Quality of Life of the Patients

Herzallah

Marglani

Alherabi

et al. 2019

Int Arch Otorhinolaryngol

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Introduction Bilateral simultaneous endoscopic dacryocystorhinostomy (endo-DCR) has received little attention in the literature, thus many surgeons continue to address bilateral nasolacrimal duct obstruction at two stages, rather than in the same setting. Objective To evaluate the feasibility and the outcome of simultaneous bilateral Endo-DCR and its impact on the quality of life of the patients. Methods We have conducted a retrospective analysis of patients who underwent bilateral simultaneous endo-DCR between March 2013 and February 2017 at our tertiary care institution. The reviewed data included clinical presentation; operative details; success rate; pre and postoperative evaluation of the symptoms of the patients, using the Nasolacrimal Duct Obstruction Symptom Score Questionnaire; satisfaction of the patients, and improvement in the quality of life, assessed by the Glasgow Benefit Inventory (GBI) questionnaire. Results Out of 128 cases in which endo-DCRs were performed, 13 were bilateral (26 sides). Postoperative success was documented in 24 of the 26 sides (92.3%), with a mean follow-up duration of 16.2 months. The two failed sides were reported in the same case. The preoperative symptom score ranged between 12 and 80 (mean ± standard deviation [SD]: 38.23 ± 15.7). The postoperative symptom score was significantly lower (mean ± SD: 5.4 ± 12.9). The success rates in unilateral and bilateral cases were comparable, with no statistically significant difference. A notable improvement in the quality of life of the patients was also reported, with a mean GBI score of 81.38 ± 12.37. Conclusion Our results support that a simultaneous bilateral endo-DCR is a safe procedure that offers a high success rate, spares the patient from the stress of a second surgery, provides the patient with a bilateral resolution of the symptoms, and confers an immediate improvement in the quality of life of the patients.

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Section: Discussionmentioning

confidence: 90%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

“…8 Instead of that, a simultaneous procedure has been considered by some surgeons to correct both sides in the same operation. 8 9…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Bilateral Simultaneous Endoscopic Dacryocystorhinostomy: Outcome and Impact on the Quality of Life of the Patients

Herzallah

Marglani

Alherabi

et al. 2019

Int Arch Otorhinolaryngol

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“…Bei langstreckigen Canaliculusstenosen ist dieses Vorgehen auch weiterhin die einzige Möglichkeit einer Wiederherstellung des Tränenabflusses. Bei Saccusstenosen besteht alternativ zum endoskopischen Vorgehen die Möglichkeit einer Dakryocystorhinostomia externa (DCR) nach Toti, einer transkanalikulären Laser-DCR, einer endonasalen DCR und einer endonasalen Laser-DCR [13][14][15][16][17], wobei eine knöcherne Anastomose zwischen Tränensack und Nasenhöhle geschaffen wird.…”

Section: Introductionunclassified

Rekanalisierung von Tränenwegsstenosen mittels Laserdakryoplastik unter Verwendung eines Diodenlasers – Vergleich der Erfolgsraten zum Erbium-YAG-Laser

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Emmerich

2017

Klin Monatsbl Augenheilkd

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In a retrospective study, the success rates of laserdacryoplasty using a diode laser were defined and compared to success rates using an erbium : YAG laser. Using a diode laser at a wave length of 980 nm, thermal destruction of tissue leads to recanalization. Using an erbium : YAG laser at a wave length of 2940 nm, recanalization of punctual stenosis is achieved by formation of a cavitation bubble in a closed system. 94 patients (64 women, 30 men, mean age 60.8 years) with 107 absolute lacrimal duct stenoses who were treated by laserdacryoplasty using a diode laser were included in a retrospective study. First dacryoendoscopy was performed in general anesthesia showing 40 canalicular and 67 saccal stenoses. As for being punctual, complete stenoses indication for laserdacryoplasty was given. Recanalization was followed by bicanalicular intubation with silicon tubes being left for 95 ± 37 days on average. Lacrimal irrigation was performed in 75 cases of 65 patients 3 months after operation. Approximately 12 months postoperatively, 61 patients were questioned about epiphora and their satisfaction. After 3 months, irrigation was successful in 70.7%, less or no epiphora could be observed in 62.9%, 60% of the patients were satisfied with the result and complication rate was low. In case of saccal stenosis, irrigation was successful in 78.7%, and in cases of canalicular stenosis, irrigation was successful in 57.2%. Clear reflux preoperatively showing no indication of inflammation was prognostically favorable as well as a short duration of symptoms. Laserdacryoplasty using a diode laser shows similar results as using an erbium : YAG laser. This minimally invasive technique rarely leads to complications and is suitable for therapy of punctual canalicular and saccal stenoses.

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Debates in Dacryology: The Intubation Dilemma!

Figueira¹,

Brettell²,

Zarkovic³

et al. 2017

Principles and Practice of Lacrimal Surgery

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Long-Term Results of Simultaneous Bilateral External Dacryocystorhinostomy in Cases with Bilateral Dacryostenosis

Abstract: In our study, high success rates of simultaneous bilateral EX-DCR were found in both children and adult patients with bilateral dacryostenosis during a long-term follow-up. We believe that simultaneous bilateral dacryocystorhinostomy has medical, social, and economic advantages.

Cited by 9 publications

References 16 publications

Bilateral Simultaneous Endoscopic Dacryocystorhinostomy: Outcome and Impact on the Quality of Life of the Patients

Bilateral Simultaneous Endoscopic Dacryocystorhinostomy: Outcome and Impact on the Quality of Life of the Patients

Rekanalisierung von Tränenwegsstenosen mittels Laserdakryoplastik unter Verwendung eines Diodenlasers – Vergleich der Erfolgsraten zum Erbium-YAG-Laser

Debates in Dacryology: The Intubation Dilemma!

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