Longitudinal randomized study to evaluate the long-term outcome of endoscopic primary dacryocystorhinostomy with or without silicone tube

Cavaliere, Matteo; Luca, Pietro De; Scarpa, Alfonso; Bonis, Egidio De; Troisi, Donato; Cassandro, Claudia; Concilio, Giovanni; D’Ascanio, Luca; Stadio, Arianna Di

doi:10.1007/s00405-021-07104-w

Cited by 5 publications

(6 citation statements)

References 17 publications

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“…However, these reports suggest that intubation may be a risk of stenosis. 16 , 17 Therefore, it is controversial whether tube insertion was necessary in our cases.…”

Section: Discussionmentioning

confidence: 88%

Two cases of nasolacrimal duct obstruction operated by endoscopic dacryocystorhinostomy after orbital fracture reconstruction with an implant

Tomita

Matsuyama

Akimoto

2023

American Journal of Ophthalmology Case Reports

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“…However, these reports suggest that intubation may be a risk of stenosis. 16 , 17 Therefore, it is controversial whether tube insertion was necessary in our cases.…”

Section: Discussionmentioning

confidence: 88%

Two cases of nasolacrimal duct obstruction operated by endoscopic dacryocystorhinostomy after orbital fracture reconstruction with an implant

Tomita

Matsuyama

Akimoto

2023

American Journal of Ophthalmology Case Reports

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“…No statistical difference in the success rate was found also in another study (Cavaliere et al, 2022), where despite one of major indications for stent placement being to impede fibrous stoma closure during healing, on long-term followup, patients with stents had a higher risk of re-stenosis after stent removal. However, the follow-up period was the longest (14 months), which may explain why restenosis was observed.…”

mentioning

confidence: 77%

“…Researchers at five centres observed that stenting did not improve the outcome of the operation, and the results of the follow-ups were similar (Al-Qahtani et al, 2012;Chong et al, 2013;Longari et al, 2016;Yu et al, 2021;Cavaliere et al, 2022). One study did not find a statistically significant advantage of using enDCR with a stent over enDCR without one (Al-Qahtani, 2012).…”

Section: With or Without Stent?mentioning

confidence: 99%

“…However, the follow-up period was the longest (14 months), which may explain why restenosis was observed. Thus, they advised to insert stents for properly selected patients with worse anatomical and clinical conditions, such as fibrotic lacrimal sac or with purulent discharge, deviation of nasal septum that narrows the space, and trauma during the surgery (Cavaliere et al, 2022).…”

mentioning

confidence: 99%

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Role of stenting in endonasal dacryocystorhinostomy: multiple challenges of the current approach

Kondratishko¹,

Tjurina

Bekers-Ancipolovskis

et al. 2022

Proceedings of the Latvian Academy of Sciences. Section B. Natural, Exact, and Applied Sciences.

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The standard procedure for dacryocystorhinostomy (DCR) employs routine stenting during the operation. According to different sources, the overall stent indwelling time ranges from six weeks to six months or even longer. Placement of a stent promotes rhinostoma formation and prevents stenosis. Since the introduction of this technique, many studies have been conducted to assess the results of DCR with and without the use of stents, the stent material, as well as the time period after which the stents were removed. This review discusses the relevant literature on stenting in endonasal dacryocystorhinostomy, which was available in PubMed over the last ten years. Equally good endonasal dacryocystorhinostomy (enDCR) results have been obtained for patients with and without a stent. However, the use of stents is sometimes associated with multiple additional complications: formation of granulations at an earlier postoperative period, infection of the lacrimal drainage system, and canalicular laceration. The use of Mitomycin C, topical steroids, antibiotics, and silver nitrate has a different impact on reducing the occurrence of these complications. Further studies are needed to develop more accurate indications for the use of stents during enDCR, as well as the timing of their removal, and the use of adjunctive topical medication.

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“…En-DCRs were performed to patients with NLDO, chronic dacryocystitis, acute dacryocystitis, dacryocyst mucoceles or traumatic dacryocystitis. The surgeries were conducted with a standard process depicted in former reports [4][5][6]11] . In many cases, silicone tubes were not implanted, except for punctual stenosis, canalicular stenosis, lacrimal sac scarring, or upper nasal cavity narrow.…”

Section: Subjects and Methods Ethical Approvalmentioning

confidence: 99%

Effect of intubation in patients with functional epiphora after endoscopic dacryocystorhinostomy

Han¹,

Wu²,

Yu³

2023

Int J Ophthalmol

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AIM: To investigate the effect of bicanalicular silicone tube intubation (BSTI) in the treatment of functional epiphora after endoscopic dacryocystorhinostomy (En-DCR). METHODS: Clinical data of 84 patients (95 eyes) with functional epiphora after En-DCR were retrospectively analyzed. Functional epiphora was confirmed as persistent or recurrent epiphora by fluorescein dye disappearance test (FDDT), lacrimal irrigation test, as well as endoscopic examination. Secondary BSTIs were recommended for patients with functional epiphora. These tubes were removed 1mo after surgery. Functional success and associated complications were assessed after 2y of follow-up. RESULTS: Seven patients (9 eyes) refused intervention, 5 patients (6 eyes) did not complete postoperative follow-up, and 1 patient (1 eye) developed tube prolapse within 1mo after surgery. Seventy-one patients (79 eyes) were included at last. Functional success ratios at six months, one year, as well as two years post-operation were 94.9% (75/79), 92.4% (73/79), and 91.1% (72/79), respectively. Three eyes presented with punctal slitting (2 eyes without epiphora), 1 eye with proximal canaliculus slitting, 1 eye with canaliculus stenosis and 4 eyes with still present functional epiphora without detectable abnormal at the last follow-up. CONCLUSION: Secondary intubation is an effective procedure with low recurrence probability for functional epiphora after En-DCR. Punctal and canaliculus injury are the main tube-associated complications after secondary intubation.

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Longitudinal randomized study to evaluate the long-term outcome of endoscopic primary dacryocystorhinostomy with or without silicone tube

Cited by 5 publications

References 17 publications

Two cases of nasolacrimal duct obstruction operated by endoscopic dacryocystorhinostomy after orbital fracture reconstruction with an implant

Two cases of nasolacrimal duct obstruction operated by endoscopic dacryocystorhinostomy after orbital fracture reconstruction with an implant

Role of stenting in endonasal dacryocystorhinostomy: multiple challenges of the current approach

Effect of intubation in patients with functional epiphora after endoscopic dacryocystorhinostomy

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