Mucociliary clearance after external dacryocystorhinostomy

Ünal, Murat; O, Oz; Adigüzel, Ufuk; Vayısoğlu, Yusuf; Vatansever, Halil; Görür, Kemal

doi:10.1111/j.1365-2273.2004.00811.x

Cited by 6 publications

(16 citation statements)

References 7 publications

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“…Mucociliary clearance is an important component of the defence mechanisms of the respiratory tracts and can be impaired by conditions such as CRS 19 that affect the activity of cilia. Diminished mucociliary clearance has also been reported following both external 20 and EnDCR. 21,22 Saline nasal irrigation is therefore recommended for secondary prevention of CRS, recurrent ARS, and after sinus surgery.…”

Section: Discussionmentioning

confidence: 93%

Acute post-operative rhinosinusitis following endonasal dacryocystorhinostomy

Shams

Selva

2013

Eye

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Purpose To investigate the incidence and risk factors for acute rhinosinusitis (ARS) following endoscopic dacryocystorhinostomy (EnDCR). Methods Retrospective single-surgeon interventional case series, including 196 consecutive patients undergoing 203 endonasal DCR, with clinical and radiological evidence of nasolacrimal duct or common canalicular obstruction. Pre-operative lacrimal and sinonasal clinical assessment and imaging, intraoperative endoscopic video recording, and postoperative clinical and endoscopic findings were analysed for cases of ARS occurring within the first 4 weeks following DCR among patients with and without a past history of chronic rhinosinusitis (CRS). Surgical complications and outcomes at 12 months and management of ARS are reported. Results Three patients (1.5%) developed ARS within the first 5 post-operative days, none of which had experienced perioperative complications and all had a past history of CRS. The rate of CRS in this cohort of 196 patients was 10.2% (n ¼ 20), of which 15% (n ¼ 3) developed ARS, although none had symptoms of CRS at the time of surgery; one had undergone previous sinus surgery. Presenting symptoms of ARS included facial pain, tenderness over the affected sinus, and nasal discharge; all patients responded to oral antibiotic therapy. Discussion The rate of ARS following EnDCR was 1.5%. In those with a prior history of CRS, it was 15% (P ¼ 0.009). ARS developed within the first post-operative week among patients with a past history of CRS, who were asymptomatic at the time of surgery, and responded to oral antibiotics. CRS may be a risk factor for the development of post-operative ARS.

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Section: Discussionmentioning

confidence: 93%

Acute post-operative rhinosinusitis following endonasal dacryocystorhinostomy

Shams

Selva

2013

Eye

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“…The pretest guidance found in the literature includes not ingesting alcoholic or caffeine-based substances, such as coffee, tea, soda, and energy drinks; drugs such as anesthetics, analgesics, barbiturates, tranquilizers, and antidepressants; not smoking for at least 12 hours; and not performing vigorous physical activities during the 12 hours preceding the test. 22 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54…”

Section: Review Of a Particular Subjectmentioning

confidence: 99%

Particularities and Clinical Applicability of Saccharin Transit Time Test

Rodrigues

Freire

Uzeloto

et al. 2019

Int Arch Otorhinolaryngol

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Introduction The importance of mucociliary clearance (MCC) for the respiratory system homeostasis is clear. Therefore, evaluating this defense mechanism is fundamental in scientific research and in the clinical practice of pulmonology and of associated areas. However, MCC evaluation has not been so usual due to the complexity of methods that use radiolabeled particles. Nevertheless, as an interesting alternative, there is the saccharin transit time (STT) test. This method is reproducible, simple to perform, noninvasive, does not demand high costs, and has been widely used in studies of nasal MCC. Although the STT test is widely used, there is still lack of a detailed description of its realization. Objective The present literature review aims to provide basic information related to the STT test and to present the findings of the previous studies that used this method, discussing variations in its execution, possible influences on the obtained results and limitations of the method, as well as to relate our experience with the use of STT in researches. Data Synthesis There are several factors that can alter the results obtained from STT tests, which would raise difficulties with proper interpretation and with the discussion of the results among different studies. Conclusions Saccharin transit time is a widely used method for the evaluation of nasal MCC, and therefore, the standardization related to the previous and concurrent to test orientations, and also its execution, become essential to improve its accuracy, and allow comparisons among different studies.

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“…Gudis et al, carried out an updated literature review of cilia dysfunction in CRS which concluded that patients with CRS had a reduction of the mucociliary clearance 8. Moreover, other studies have reported this reduction after EDCR and EnDCR 9–11…”

Section: Discussionmentioning

confidence: 99%

<p>Comparative study of the clinical profile of chronic dacryocystitis and chronic rhinosinusitis after external dacryocystorhinostomy</p>

Soriano

Damasceno

Neto

et al. 2019

OPTH

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Purpose To compare the clinical profile of patients with chronic dacryocystitis (CDC) with and without associated chronic rhinosinusopathies who had been submitted to external dacryocystorhinostomy (EDCR). Methods This was a retrospective, observational, and longitudinal study that included all patients diagnosed with CDC who were submitted to EDCR at the Antonio Pedro University Hospital. Patients were divided into two groups, with and without rhinosinusopathies (Group I and Group II, respectively). The following variables were assessed to compare the Group I and Group II: age, ethnicity, epiphora, discharge by expression of the lacrimal sac, duration of the CDC, and previous history of CDC exacerbation. Results The study included a total of 78 patients, 22 patients (28.2%) in Group I and 56 patients (71.8%) in Group II. The mean age was 64.3 (±19.7) years. In Group I and II predominated elderly, female, and White ( p =0.93, p =0.38, p =0.77). In relation to the clinical characteristics, most of the patients presented epiphora and discharge by compression of the lacrimal sac in both Groups ( p =0.61, p =0.44). In relation to a previous history of exacerbations of the CDC, six patients in Group I and four patients in Group II presented it as purulent discharge ( p =0.04). Conclusion Chronic rhinosinusopathies may favor episodes of exacerbations of chronic dacryocystitis in particular with the presence of purulent discharge.

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Mucociliary clearance after external dacryocystorhinostomy

Cited by 6 publications

References 7 publications

Acute post-operative rhinosinusitis following endonasal dacryocystorhinostomy

Acute post-operative rhinosinusitis following endonasal dacryocystorhinostomy

Particularities and Clinical Applicability of Saccharin Transit Time Test

<p>Comparative study of the clinical profile of chronic dacryocystitis and chronic rhinosinusitis after external dacryocystorhinostomy</p>

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