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Indian Journal of Otolaryngology and Head & Neck Surgery

Published in:

01-11-2019 | Original Article

Endoscopic DCR: A 10 Years Personal Experience

Author: Basil Mohammednather Saeed

Published in: Indian Journal of Otolaryngology and Head & Neck Surgery | Special Issue 3/2019

Abstract

Endoscopic DCR is an endonasal minimally invasive procedure to bypass an obstructed nasolacrimal duct by creating a direct fistula between the lacrimal sac and the nasal cavity. This is a retrospective case series review of the author’s experience in endoscopic DCR in the period from 2007 to 2017. This series included 193 adult patients with a mean age of 47 years who underwent endoscopic DCR surgery. In this study, both primary and revision cases were reviewed including non-stented primary cases and bilateral simultaneous surgeries at the same session. Causes of failure in primary surgeries were stated, and indications of secondary cases were also reviewed. As a conclusion, endoscopic DCR remains the standard procedure in treating nasolacrimal duct obstruction with its consequent symptoms of epiphora, recurrent or chronic dacryocystitis.

Muscatello L, Giudice M, Spriano G, Tondini L (2005) Endoscopic dacryocystorhinostomy: personal experience. Acta Otorhinolaryngol Ital 25:209–213PubMedPubMedCentral

McDonogh M, Meiring JH (1989) Endoscopic transnasal dacryocystorhinostomy. J Laryngol Otol 103:585–587CrossRef

Rice DH (1990) Endoscopic intranasal dacryocystorhinostomy results in four patients. Arch Otolaryngol Head Neck Surg 116:1061CrossRef

Bharangar S, Singh N, Lal V (2012) Endoscopic endonasal dacryocystorhinostomy: best surgical management for DCR. Indian J Otolaryngol Head Neck Surg 64(4):366–369CrossRef

Saeed BM (2012) Endoscopic DCR without stents: clinical guidelines and procedure. Eur Arch Otorhinolaryngol 269(2):545–549CrossRef

Kamal S, Ali MJ, Nair AG (2016) Outcomes of endoscopic dacryocystorhinostomy: experience of a fellowship trainee at a tertiary care center. Indian J Ophthalmol 64(9):648–653CrossRef

Fayet B, Racy E, Assouline M (2004) Complications of standardized endonasal dacryocystorhinostomy with unciformectomy. Ophthalmology 111:837–845CrossRef

Bajaj MS, Pushker N, Balasubramanya R, Rani A (2002) Surgical endoscopic dacryocystorhinostomy. Br J Ophthalmol 86:1460CrossRef

Yung MW, Hardman-Lea S (2002) Analysis of the results of surgical endoscopic dacryocystorhinostomy: effect of the level of obstruction. Br J Ophthalmol 86:792–794CrossRef

10.

Wormald PJ (2002) Powered endoscopic dacryocystorhinostomy. Laryngoscope 112:69–72CrossRef

11.

Anderson RL, Edwards JJ (1979) Indications, complications and results with silicone stents. Ophthalmology 86(8):1474–1487CrossRef

12.

Ramakrishnan VR, Durairaj VD, Kingdom TT (2008) Revision endoscopic dacryocystorhinostomy. Op Tech Otolaryngol Head Neck Surg 19(3):177–181CrossRef

13.

Ali MJ, Psaltis AJ, Wormald PJ (2014) Long-term outcomes in revision powered endoscopic dacryocystorhinostomy. Int Forum Allergy Rhinol 4(12):1016–1019CrossRef

14.

Yung MW, Hardman-Lea S (1998) Endoscopic inferior dacryocystorhinostomy. Clin Otolaryngol Allied Sci 23(2):152–157CrossRef

15.

Herzallah I, Alzuraiqi B, Bawazeer N et al (2015) Endoscopic dacryocystorhinostomy (DCR): a comparative study between powered and non-powered technique. J Otolaryngol Head Neck Surg 44:56CrossRef

16.

Su P-Y (2018) Comparison of endoscopic and external dacryocystorhinostomy for treatment of primary acquired nasolacrimal duct obstruction. Taiwan J Ophthalmol 8(1):19–23CrossRef

17.

Somuk BT, Alim S, Sapmaz E et al (2016) Comparison of endoscopic and external dacryocystorhinostomy results and analysis of patients’ satisfaction. Turk Arch Otorhinolaryngol 54(3):99–104CrossRef

18.

Nussbaumer M, Schreiber S, Yung MW (2004) Concomitant nasal procedures in endoscopic dacryocystorhinostomy. J Laryngol Otol 118:267–269CrossRef

19.

Tsirbas A, Davis G, Wormald PJ (2004) Mechanical endonasal dacryocystorhinostomy versus external dacryocystorhinostomy. Ophthal Plast Reconstr Surg 20:50–56CrossRef

20.

Selig YK, Biesman BS, Rebeiz EE (2000) Topical application of mitomycin-C in endoscopic dacryocystorhinostomy. Am J Rhinol 14(3):205–207CrossRef

21.

Lee TS, Shin HH, Hwang SJ, Baek SH (2007) The results of revisional surgery for the failed endonasal DCR. J Korean Ophthalmol Soc 48(2):186–192

22.

Baek JS, Jeong SH, Lee JH, Choi HS, Kim SJ, Jang JW (2017) Cause and management of patients with failed endonasal dacryocystorhinostomy. Clin Exp Otorhinolaryngol 10(1):85–90CrossRef

23.

Unlü HH, Oztürk F, Mutlu C, Ilker SS, Tarhan S (2000) Endoscopic dacryocystorhinostomy without stents. Auris Nasus Larynx 27(1):65–71CrossRef

24.

Unlu HH, Toprak B, Aslan A, Guler C (2002) Comparison of surgical outcomes in primary endoscopic dacryocystorhinostomy with and without silicon intubation. Ann Otol Rhinol Laryngol 111(8):704–709CrossRef

25.

Smirnov G, Tuomilehto H, Teräsvirta M, Nuutinen J, Seppä J (2008) Silicone tubing is not necessary after primary endoscopic dacryocystorhinostomy: a prospective randomized study. Am J Rhinol 22:214–217CrossRef

26.

Sprekelsen MB, Barberan MT (1996) Endoscopic dacryocystorhinostomy: surgical technique and results. Laryngoscope 106:187–189CrossRef

27.

Callejas CA, Tewfik MA, Wormald PJ (2010) Powered endoscopic dacryocystorhinostomy with selective stenting. Laryngoscope 120:1449–1452CrossRef

28.

Allen K, Berlin AJ (1989) Dacryocystorhinostomy failure: association with nasolacrimal silicone intubation. Ophthalmic Surg 20(7):486–489PubMed

29.

Kang MG, Shim WS, Shin DK, Kim JY, Lee JE, Jung HJ (2018) A systematic review of benefit of silicone intubation in endoscopic dacryocystorhinostomy. Clin Exp Otorhinolaryngol. https://doi.org/10.21053/ceo.2018.00031 CrossRefPubMedPubMedCentral

30.

Korkut AY, Teker AM, Ozsutcu M, Askiner O, Gedikli O (2011) A comparison of endonasal with external dacryocystorhinostomy in revision cases. Eur Arch Otorhinolaryngol 268(3):377–381CrossRef

31.

Paik JS, Cho WK, Yang SW (2013) Comparison of endoscopic revision for failed primary external versus endoscopic dacryocystorhinostomy. Clin Exp Ophthalmol 41(2):116–121CrossRef

32.

Choussy O, Retout A, Marie JP, Cozlean A, Dehesdin D (2010) Endoscopic revision of external dacryocystorhinostomy failure. Rhinology 48(1):104–107CrossRef

33.

Demarco R, Strose A, Araújo M, Valera FC, Moribe I, Anselmo-Lima WT (2007) Endoscopic revision of external dacryocystorhinostomy. Otolaryngol Head Neck Surg 137(3):497–499CrossRef

34.

Wu S, Xu T, Fan B, Xiao D (2017) Endoscopic dacryocystorhinostomy with an otologic T-type ventilation tube in repeated revision cases. BMC Ophthalmol 17:138CrossRef

35.

Bayraktar C, Karadağ AS, Doğan S, Şimşek A, Kaskalan E, Çapkin M (2016) Simultaneous bilateral endonasal endoscopic dacryocystorhinostomy: a low cost, fast, and successful method. J Craniofac Surg 27(8):e726–e728CrossRef

Title: Endoscopic DCR: A 10 Years Personal Experience
Author: Basil Mohammednather Saeed
Publication date: 01-11-2019
Publisher: Springer India
Published in: Indian Journal of Otolaryngology and Head & Neck Surgery / Issue Special Issue 3/2019
Print ISSN: 2231-3796
Electronic ISSN: 0973-7707
DOI: https://doi.org/10.1007/s12070-018-1458-5

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