Use of endocanalicular dacryocystorhinostomy with multidiode laser in children

Cakmak, Sevin Soker; Yıldırım, Müzeyyen

doi:10.1016/j.ijporl.2010.08.015

Cited by 10 publications

(4 citation statements)

References 22 publications

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“…Hong et al reported an 87 % success rate for recurrent nasolacrimal duct obstruction [14]. Cakmak and Yildirim also observed an 87.5 % success rate for PANDO in children during a 6-month follow-up period [15]. Narioka and Ohashi reported an 80 % success rate for failed EX-DCR revision [10].…”

Section: Discussionmentioning

confidence: 99%

Comparison of Outcomes of External Dacryocystorhinostomy and Transcanalicular Laser-Assisted Dacryocystorhinostomy in Patients with Primary Acquired Nasolacrimal Duct Obstruction

Mutlu

Bayram

Arıcı

et al. 2022

Klin Monbl Augenheilkd

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Purpose This study aimed to compare anatomical and functional outcomes of external dacryocystorhinostomy (EX-DCR) and transcanalicular multidiode laser dacryocystorhinostomy (TDL-DCR) in patients with primary acquired nasolacrimal duct obstruction (PANDO). Methods This study was conducted on 60 eyes of 60 patients with PANDO. The study subjects were randomly divided into two groups. Group 1 included 30 patients who underwent EX-DCR, and group 2 included 30 patients who underwent TDL-DCR. Surgery success rates were determined by patency of the neo-ostium, with free saline flow on irrigation and the absence of epiphora. Results There were 23 women (76.7%) and 7 men (23.3%) with a mean age of 47.33 ± 12.44 years in group 1, and 18 women (60%) and 12 men (40%) with a mean age of 46.2 ± 19.4 years in group 2. There was no significant difference between groups 1 and 2 with respect to age or gender (p = 0.801, p = 0.267, respectively). The mean duration of symptoms was 3.2 years, ranging from 1.5 to 5 years. The mean postoperative follow-up was 12.3 ± 2.44 months. At the end of the follow-up period, the surgery success rates were 96.7% (29/30 eyes) in group 1, and 90% (27/30 eyes) in group 2. There was no statistical difference in the surgery success rates between groups (p = 0.612). Conclusion TDL-DCR is a minimally invasive and safe procedure. The lack of bleeding and incision scar and shorter operation time suggest that TDL-DCR can be a good alternative in PANDO patients.

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Section: Discussionmentioning

confidence: 99%

Comparison of Outcomes of External Dacryocystorhinostomy and Transcanalicular Laser-Assisted Dacryocystorhinostomy in Patients with Primary Acquired Nasolacrimal Duct Obstruction

Mutlu

Bayram

Arıcı

et al. 2022

Klin Monbl Augenheilkd

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“…[4] In DCR, argon, potassium titanyl phosphate (KTP): YAG, holmium: YAG, neodymium: YAG and multidiode lasers are used. [3] The principle of the multidiode laser is based on absorption of its energy by the target tissue and transformation of this energy into a thermal effect. This effect creates an incision in the mucosa and bone in order to construct a fistula between the lacrimal sac and nasal cavity.…”

Section: Discussionmentioning

confidence: 99%

“…[1] External DCR which was first described by Toti in 1904 [2] is performed with a success rate of 82-99 percent. [3] Fewer complications, such as cutaneous necrosis, cerebrospinal fluid leakage, maxillary and frontal sinusitis, retrobulbar hemorrhage, transient lagophthalmos and subcutaneous emphysema have been reported with this procedure [4,5] However, this lengthy surgical procedure has many disadvantages, such as external skin incisional scarring, excessive intraoperative bleeding, disruption of the medial canthus anatomy and high morbidity associated with trauma to the anterior ethmoid, middle turbinate and nasal septum. [3,6] The endonasal approach was first attempted in 1893 by Caldwell, [2] which evolved into nasal endoscopy in the 1990s.…”

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confidence: 99%

“…[8,9] The disadvantages of the endonasal method are technical difficulties involved in visualizing the surgical site and achieving effective soft-tissue and bone removal, possibility of orbital perforation, multiple instrumentation inside the nose, insufficient size of the osteotomy cicatricial closure of the ostium, adhesions between the ostium and the middle turbinate, formation of synechiae between the ostium and the nasal septum, and granuloma formation within the ostium. (3,(10)(11)(12) There are different techniques and instruments employed in endonasal DCR. Bone removal can be achieved using the surgical drill, diamond-blurring, rongeur, hammer-chisel, radiofrequency or laser-assisted ablation.…”

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confidence: 99%

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Comparison of endonasal dacryocystorhinostomy (DCR) versus endocanalicular diode laser DCR for the treatment of nasolacrimal duct obstruction

Acar¹

2014

J Med Updates

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ÖzetAmaç: Nazolakrimal kanal obstrüksiyonunun tedavisi olarak dakriyosistorinostomi (DSR) genellikle endonazal yoldan gerçeklefltirilmek-tedir. Bu retrospektif çal›flmada endonazal DSR ile endokanaliküler diyot lazer DSR'nin anatomik ve fonksiyonel baflar› oranlar›n› karfl›-laflt›rd›k.Yöntem: Endonazal DSR grubunda 53 (Grup 1) ve endokanaliküler diyot lazer grubunda (Grup 2) 47 hastan›n t›bbi kay›tlar› preoperatif enjeksiyon ve prob uygulamalar›, cerrahi ayr›nt›lar, sonuçlar ve komplikasyonlar›n de¤erlendirmesi aç›s›ndan incelendi. Bulgular: Grup 1'de 8 ve Grup 2'de 6 hastada nüks gözlemlendi. ‹ki grup aras›nda nüks oranlar› farkl›l›k göstermesine karfl›n bu farkl›l›k istatistiksel aç›dan anlaml› de¤ildi (p>0.05). Grup 1'deki komplikasyonlar 8 sinefli ve 1 tüp protrüzyonu, Grup 2'de ise 2 sinefli, 2 tüp protrüzyonu ve 2 punktal atrofi olgusunu içermekteydi. Alerji, konka hipertrofisi ve septum deviasyonu nüks ve komplikasyon oranlar›n› anlaml› derecede art›rmam›flt› (p>0.05). Grup 1'de kanama ve a¤r› anlaml› derecede daha s›k gözlenmifl olmas›na ra¤men Grup 2'de hasta konforu anlaml› derecede daha iyi idi (p<0.05).Sonuç: Daha iyi postoperatif konfor, daha k›sa iyileflme süresi ve daha az postoperatif a¤r›ya neden olmas› sayesinde endokanaliküler diyot lazer DSR'nin endonazal DSR cerrahisine göre daha iyi bir alternatif oldu¤u saptanm›flt›r.Anahtar sözcükler: Komplikasyon, dakriyosistorinostomi, diyot lazeri, endokanaliküler, endonazal. AbstractObjective: Dacryocystorhinostomy (DCR), the treatment for nasolacrimal duct obstruction, is generally performed endonasally. In this retrospective study, we compared the anatomical and functional success rate of endonasal DCR with endocanalicular diode laser DCR.Methods: Medical records of 53 patients in endonasal DCR group (Group 1) and 47 in endocanalicular diode laser DCR group (Group 2) were analyzed for preoperative syringing and probing evaluations as well as surgical details, outcomes and complications.Results: Recurrence was observed in eight patients in Group 1 and six in Group 2. Although the recurrence rates differed between the two groups, this difference was not statistically significant (p>0.05). The complications in Group 1 included eight cases of synechia and one tube protrusion, whereas the complications in Group 2 included two cases of synechia, two tube protrusions and two punctum atrophies. The presence of allergy, concha hypertrophy and septum deviation did not significantly increase the rates of recurrence or complications (p>0.05). Bleeding and pain were observed significantly more frequently in Group 1 and the patient comfort was significantly better in Group 2 (p<0.05).Conclusion: Endocanalicular diode laser DCR was found to be a good alternative to endonasal DCR surgery thanks to better postoperative comfort, shorter healing time and less postoperative pain.

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Transcanalicular Laser-Assisted Dacryocystorhinostomy

Kaynak

2019

Oculofacial, Orbital, and Lacrimal Surgery

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Use of endocanalicular dacryocystorhinostomy with multidiode laser in children

Cited by 10 publications

References 22 publications

Comparison of Outcomes of External Dacryocystorhinostomy and Transcanalicular Laser-Assisted Dacryocystorhinostomy in Patients with Primary Acquired Nasolacrimal Duct Obstruction

Comparison of Outcomes of External Dacryocystorhinostomy and Transcanalicular Laser-Assisted Dacryocystorhinostomy in Patients with Primary Acquired Nasolacrimal Duct Obstruction

Comparison of endonasal dacryocystorhinostomy (DCR) versus endocanalicular diode laser DCR for the treatment of nasolacrimal duct obstruction

Transcanalicular Laser-Assisted Dacryocystorhinostomy

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