Mechanical endonasal dacryocystorhinostomy with mucosal flaps

Tsirbas, Angelo; Wormald, Peter John

doi:10.1136/bjo.87.1.43

Cited by 162 publications

(63 citation statements)

References 34 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…These points argue for need for further research and investigation to clearly establish the efficacy of stenting in endoscopic DCR. We could demonstrate a high surgical success rate without using other post-op preventive procedures like use of antimetabolites like mitomycin C [17] or marsupialization of the sac on the lateral nasal wall [18][19][20] which have been incorporated by other investigators. Four out of 90 patients in our study had no symptomatic relief despite achieving anatomical patency.…”

Section: Discussionmentioning

confidence: 99%

Primary Endonasal DCR Without Stent: Our Experience and Case Series Analysis

Raghuwanshi¹,

Raghuwanshi

Agarwal³

et al. 2015

Indian J Otolaryngol Head Neck Surg

View full text Add to dashboard Cite

Endonasal dacryocystorhinostomy is widely accepted and effective treatment option for nasolacrimal duct obstruction. It can be done with or without the use of stents. This study was carried out to evaluate the results of endonasal DCR surgery and to access efficacy of this procedure without stenting. This is a prospective clinical study conducted in Departments of ENT and Ophthalmology, L.N. Medical College and J.K. Hospital, Bhopal from October 2008 to April 2012. A total of 90 patients with epiphora as evidenced by nasolacrimal duct blockage on syringing were included in the study. These patients underwent endoscopic DCR without stenting. The cases were followed up to 18 months postoperative. Surgical success was defined as anatomical patency and symptomatic relief at the end of the follow up period. Failure was defined as no symptomatic relief, and/or acute dacryocystitis, and/or non patent lacrimal drainage system. Surgical success was observed in 80 of 90 (88.89 %) patients. Incidence of complication was low as only 6 patients had minor complication of bleeding, synechie and granulation tissue formation. It was concluded that high success rates could be achieved in case of nasolacrimal duct obstruction by endoscopic DCR. Thus, we can minimize complications, discomfort, the cost of stenting and follow up visits after endonasal DCR surgery.

show abstract

Section: Discussionmentioning

confidence: 99%

Primary Endonasal DCR Without Stent: Our Experience and Case Series Analysis

Raghuwanshi¹,

Raghuwanshi

Agarwal³

et al. 2015

Indian J Otolaryngol Head Neck Surg

View full text Add to dashboard Cite

show abstract

“…This is in contrast to other studies where all included patients underwent formal preoperative imaging. 19 Our study was limited by a relatively short follow-up period. However, a number of studies have shown that changes within the newly created ostium following END-DCR are minimal beyond 4 weeks postoperatively and that late failure is relatively uncommon.…”

Section: Discussionmentioning

confidence: 99%

Anatomical and subjective success rates of endonasal dacryocystorhinostomy over a seven-year period

Beshay

Ghabrial

2016

Eye

View full text Add to dashboard Cite

Purpose Endonasal dacryocystorhinostomy (END-DCR) is a relatively novel approach that has recently been shown in some studies to provide similar success rates to the more traditional external approach for the treatment of nasolacrimal duct obstruction (NLDO). However, a range of success rates using this approach are reported within the literature and the majority of oculoplastic surgeons are still favouring the external approach. The purpose of this study was to review the anatomical and subjective success rates of END-DCRs performed over a 7-year period. Patients and methods We provide a review of the success rates of 288 END-DCRs for the treatment of acquired NLDO performed over a 7-year period by a single oculoplastic surgeon in Sydney, Australia. We describe the operative technique used and define anatomical success as demonstrated patency of the nasolacrimal drainage system at 10 weeks postoperatively while subjective success is defined as complete resolution or significant improvement of symptoms as reported by patients at the same time point. Results In our study, we were able to demonstrate that out of 288 END-DCRs, an average anatomical success rate of 89.6% and an average subjective success rate of 81.3% were achievable. Conclusions We conclude that the success rates using our endonasal approach remain similar to those obtained using the external approach, as reported within the literature, and may be considered as a primary treatment option for acquired NLDO.

show abstract

“…Anatomical 14 and surgical 6 studies have suggested the unciform process as adjacent and posterior to the lachrymal fossa. Tsirbas and Wormald 19 stated that such structure must be preserved during DCR-en. Fayet 20 et al found some degree of unciform process overlapping the lachrymal fossa in 94.8% of the cases.…”

Section: Discussionmentioning

confidence: 99%

Estudo da anatomia endoscópica da fossa lacrimal guiado por transiluminacão

Ricardo

Nakanishi²,

Fava³

2010

Braz. j. otorhinolaryngol. (Impr.)

View full text Add to dashboard Cite

Dacryocyst orhinostomy is the treatment of choice for the obstruction of the lachrymal apparatus. At the end of last century, the development of the endoscopic instruments for nasosinusal surgery has made it possible to do it through the endoscopic pathway. Nonetheless, anatomical variations make it difficult to have reproducibility endonasaly. Aim: study the endoscopic anatomy of the lachrymal fossa through transillumination of the common canaliculus. Study design: experimental. Materials and Methods: we dissected 40 lachrymal pathways from 20 human cadavers, in three stages: 1. identification and dilation of the lachrymal canaliculus. 2 -Optic fiber beam introduction; 3 -endoscopic dissection of the lachrymal sac, describing its position. Results: the most frequent position of the lachrymal sac was between the free border of the middle turbinate and its insertion immediately underneath it. The maxillary line was seen in 95% of the cases. Septoplasty was needed in 12.5%, unicifectomy in 35% and middle turbinectomy in 7.5%. Conclusion: Although the lachrymal sac has a more frequent location, its position varied considerably. The transillumination of the common canaliculus proved useful, solving the problem of the anatomical variability.

show abstract

Mechanical endonasal dacryocystorhinostomy with mucosal flaps

Cited by 162 publications

References 34 publications

Primary Endonasal DCR Without Stent: Our Experience and Case Series Analysis

Primary Endonasal DCR Without Stent: Our Experience and Case Series Analysis

Anatomical and subjective success rates of endonasal dacryocystorhinostomy over a seven-year period

Estudo da anatomia endoscópica da fossa lacrimal guiado por transiluminacão

Contact Info

Product

Resources

About