The use of an ostial stent does not increase the success rate of endoscopic dacryocystorhinostomy

Dinç, Mehmet Emre; Ulusoy, Seçkin; Şahin, Ethem; Bozan, Nazım; Avınçsal, Mehmet Özgür; Tutar, Belgın; Uyar, Yavuz

doi:10.1017/s002221511800107x

Cited by 5 publications

(4 citation statements)

References 16 publications

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“…Multiple studies have sought to determine whether the intraoperative use of a silicone stent is warranted for EDCR operations, with several determining that long-term outcomes do not differ significantly when comparing patients with and without stenting. 9,10,22 Indeed, in one previous report, Pseudomonas infections were found to arise more often in patients treated via the extended deployment of stents within the lacrimal sac, leading to higher rates of DCR failure. 23 The appropriate amount of time for stenting is not universally agreed upon, and silicone tubes have the potential to drive granulation and to thereby elevate failure rates.…”

Section: Discussionmentioning

confidence: 98%

“…Some surgeons have reported that stenting increases the success rate of this procedure; however, many studies have shown that there are no significant differences in outcomes as a result of stenting. 9,10 In the present report, we describe a lobulated pedicled nasal mucosal EDCR technique that allowed for temporary exposure of the maxillary bone above the lacrimal sac and NLD. Following operative completion, these flaps can be replaced, covering exposed bone and thus minimizing the risk of cicatricle stenosis.…”

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Assessment of Long-Term Outcomes Associated With a Lobulated Pedicled Nasal Mucosa Flap Technique for Endoscopic Dacryocystorhinostomy Without Stenting

2020

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Objective: This study describes a surgical approach wherein a lobulated pedicled nasal mucosa flap technique was employed for endoscopic dacryocystorhinostomy (EDCR) as a means of treating nasolacrimal duct obstructions. This study also assessed the long-term outcomes of this EDCR approach when implemented without stenting. Methods: This was a retrospective study of a total of 63 patients (67 eyes) treated for nasolacrimal duct obstructions between January 2011 and November 2016. All patients had undergone ophthalmic diagnosis followed by EDCR treatment using a lobulated pedicled nasal mucosa flap without stenting. Patients were then monitored for both anatomical patency and sustained symptom relief during the follow-up period in order to assess objective and subjective study outcomes. Results: Patients were followed for a mean of 25.3 ± 1.2 months (range: 24-28 months), with a 100% anatomical patency success rate (67/67) and a 94.03% symptomatic cure rate (63/67). There were no instances of complications. Conclusions: The use of a lobulated pedicled nasal mucosa flap technique for EDCR without stenting is a straightforward, effective, and safe approach that keeps bone exposure to a minimum while offering a high rate of satisfactory outcomes, making it a procedure worthy of consideration as a means of treating patients suffering from nasolacrimal duct obstructions.

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Section: Discussionmentioning

confidence: 98%

Section: Introductionmentioning

confidence: 99%

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Assessment of Long-Term Outcomes Associated With a Lobulated Pedicled Nasal Mucosa Flap Technique for Endoscopic Dacryocystorhinostomy Without Stenting

2020

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“…In order to solve these problems, many scholars have proposed a lot of practical schemes for decades, such as adjusting the size and shape of bone pores, using Mitomycin at the ostium site, improving the ostium mode of valve, injecting hormone eye ointment at the ostium site and inserting lacrimal duct support [6,14,[19][20][21][22]. The effects of these operations are remarkable, and lacrimal sac decompression will also has a place in these options.…”

Section: Discussionmentioning

confidence: 99%

Efficacy study of endoscopic dacryocystorhinostomy with decompression of lacrimal sac

Li,

Zhang,

et al. 2024

Preprint

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Objective Study and analyze the clinical effect of endoscopic dacryocystorhinostomy with decompression of lacrimal sac. Methods Prospective randomized controlled trail. 269 patients (302 eyes) with chronic dacryocystitis were diagnosed in Aier eye hospital of Wuhan university from February 2018 to September 2023, and all patients were underwent endoscopic dacryocystorhinostomy. According to the principle of double-blind random sampling, they were divided into two groups before surgery. Group A was treated with decompression of lacrimal sac during the operation, while the lacrimal sac decompression was not performed during operation in group B. Regular follow-up to 6mo postoperative was carried out to count the postoperative efficacy of two groups of patients. Results Five patients (6 eyes) lost to follow-up were removed, a total of 264 patients (296 eyes) were included in the comparative analysis in this study. 136 cases (151 eyes) in the group A were included in the comparative analysis, the cure rate was 82.78%, the improvement rate was 13.25%, the effective rate was 96.03%, and the inefficiency was 3.97%. While in group B, the cure rate of 128 cases (145 eyes) was 62.76%, the improvement rate was 26.90%, the effective rate was 89.66%, and the ineffective rate was 10.34%. The difference in efficacy between the two groups was statistically significant (χ2 = 15.147, P = 0.000). Conclusion Dacryocyst decompression performed during endoscopic dacryocystorhinostomy can improve the efficacy of surgery and reduce the occurrence of complications.

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Endoscopic Dacryocystorhinostomy - Comparative Outcomes of Powered vs. Non - Powered Instrument Techniques in a Tertiary Care Hospital

Chaitanya,

Pal,

Usha

et al. 2024

Indian J Otolaryngol Head Neck Surg

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The use of an ostial stent does not increase the success rate of endoscopic dacryocystorhinostomy

Abstract: Compared with the use of a silicone tube alone, the addition of an ostial stent did not significantly increase the success rate of endoscopic dacryocystorhinostomy.

Cited by 5 publications

References 16 publications

Assessment of Long-Term Outcomes Associated With a Lobulated Pedicled Nasal Mucosa Flap Technique for Endoscopic Dacryocystorhinostomy Without Stenting

Assessment of Long-Term Outcomes Associated With a Lobulated Pedicled Nasal Mucosa Flap Technique for Endoscopic Dacryocystorhinostomy Without Stenting

Efficacy study of endoscopic dacryocystorhinostomy with decompression of lacrimal sac

Endoscopic Dacryocystorhinostomy - Comparative Outcomes of Powered vs. Non - Powered Instrument Techniques in a Tertiary Care Hospital

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