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Dacryocystorhinostomy

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https://www.readbyqxmd.com/read/28388347/endoscopic-dacryocystorhinostomy-following-radioactive-iodine-thyroid-ablation
#1
Sarah H Van Tassel, Kira L Segal, Nicole M Hsu, Ashutosh Kacker, Gary J Lelli
This article evaluates the efficacy of endoscopic dacryocystorhinostomy (eDCR) for nasolacrimal duct obstruction (NLDO) in patients exposed to radioactive iodine (RAI) for treatment of thyroid carcinoma. Retrospective chart review of 7 eDCR procedures was performed on 6 patients, aged 18 or older, with prior RAI treatment, who underwent eDCR between January 1, 2008 and December 31, 2013 for treatment of epiphora due to NLDO. Average time to tube removal was 159 days, and average follow-up was 341 days. One patient noted complete epiphora relief at the time of their final visit...
April 2017: Orbit
https://www.readbyqxmd.com/read/28380654/-graduated-treatment-concept-for-connatal-dacryostenosis
#2
J Heichel
Unresolved epiphora in childhood is one of the most frequent issues in paediatric ophthalmology. In this context, connatal nasolacrimal duct obstruction (CNLDO) is the most important differential diagnosis and the condition is caused by a persistent Hasner's membrane in most cases. As there is a risk of complications, treatment should be considered. Therapeutic options include conservative and invasive approaches. As CNLDO is associated with high spontaneous recovery rates during the first years of life, the indication for invasive interventions must be carefully deliberated in that period...
April 5, 2017: Klinische Monatsblätter Für Augenheilkunde
https://www.readbyqxmd.com/read/28372815/application-of-ultrasonic-aspirators-in-rhinology-and-skull-base-surgery
#3
REVIEW
Dominic Vernon, Brian C Lobo, Jonathan Y Ting
Ultrasonic aspirators (UAs) are increasingly being used in rhinology and skull base surgery. The use of ultrasonic vibration for the removal of bony tissue transfers minimal heat to surrounding tissues and is relatively atraumatic to nearby soft tissue structures. This article details the development and application of this technology in septoturbinoplasty, endoscopic dacryocystorhinostomy (DCR), and skull base surgery. The benefits and limitations of UAs compared with conventionally powered instruments are discussed...
March 31, 2017: Otolaryngologic Clinics of North America
https://www.readbyqxmd.com/read/28367529/conjunctival-bacterial-flora-in-fellow-eyes-of-patients-with-unilateral-nasolacrimal-duct-obstruction-and-its-changes-after-successful-dacryocystorhinostomy-surgery
#4
Bahram Eshraghi, Sayyed Amirpooya Alemzadeh, Zohreh Abedinifar
PURPOSE: To evaluate the results of conjunctival culture in fellow eyes of patients with unilateral nasolacrimal duct obstruction (NLDO) and its changes after successful dacryocystorhinostomy (DCR) surgery. METHODS: In this prospective study, 71 adult patients with unilateral NLDO and 41 age and sex-matched controls without NLDO were evaluated. The patients were divided into 2 groups based on clinical examination; group A with purulent regurgitation and group B without purulent regurgitation...
March 2017: Journal of Current Ophthalmology
https://www.readbyqxmd.com/read/28362560/comparing-outcomes-of-pediatric-and-adult-external-dacryocystorhinostomy-in-nepal-is-age-a-prognostic-factor
#5
Ben Limbu, Sulaxmi Katwal, Nicole S Lim, Michelle L Faierman, Anna G Gushchin, Rohit Saiju
We determine whether age is a prognostic factor for surgical outcomes of external dacryocystorhinostomy (Ex-DCR). This retrospective cohort study conducted at Tilganga Institute of Ophthalmology (Kathmandu, Nepal) compared pediatric Ex-DCR procedures (age ≤ 15 years) to adult Ex-DCR procedures (age > 15 years) and was performed between January 2013 and December 2013, with a minimum follow-up period of 6 months. Primary outcome measure was rate of success, defined as complete resolution of subjective symptom(s) of epiphora (subjective success), combined with patent lacrimal passage on syringing (anatomical success) at last follow-up visit...
March 31, 2017: Orbit
https://www.readbyqxmd.com/read/28341931/a-case-series-of-dacryoendoscopy-in-childhood-a-diagnostic-and-therapeutic-alternative-for-complex-congenital-nasolacrimal-duct-obstruction-even-in-the-first-year-of-life
#6
Jens Heichel, Hans-Gert Struck, Miltiadis Fiorentzis, Thomas Hammer, Timm Bredehorn-Mayr
INTRODUCTION: Congenital nasolacrimal duct obstruction (CNLDO) is the most common cause of epiphora in infancy. Spontaneous resolution occurs in the majority of the cases by 1 year of age. Nevertheless, obstruction has a negative impact on the outcome of conservative or surgical therapy, especially in cases of complex CNLDO. When the condition persists beyond several months, early intervention with dacryoendoscopy (DE) around the age of 1 year could yield good results. The objective of the study is to analyze the success rate and effectiveness of early DE for complex CNLDO in the first year of life...
March 24, 2017: Advances in Therapy
https://www.readbyqxmd.com/read/28333851/contralateral-vision-loss-after-endonasal-dacryocystorhinostomy-a-case-report-of-purtscher-like-retinopathy-and-treatment-with-intravitreal-tissue-plasminogen-activator
#7
Hulya Gungel, Cigdem Altan, Belma Karini, Fatma E Ozdemir, Ozlem O Celebi
PURPOSE: To present a case of a patient with contralateral vision loss as a result of Purtscher-like retinopathy after an endonasal dacryocystorhinostomy and treatment with intravitreal tissue plasminogen activator injection. METHODS AND RESULTS: A 51-year-old woman who underwent a left endonasal dacryocystorhinostomy was referred with a complaint of decreased vision 1 day after surgery in her right eye. At the initial examination, the visual acuity of her right eye was hand motion...
March 22, 2017: Retinal Cases & Brief Reports
https://www.readbyqxmd.com/read/28326669/limited-endoscopic-high-septoplasty-prior-to-endonasal-dacryocystorhinostomy-our-experience-of-nine-cases
#8
LETTER
S-W Kim, S C Yeo, Y-H Joo, H-J Cho, S W Seo, S-Y Jeon
No abstract text is available yet for this article.
March 22, 2017: Clinical Otolaryngology
https://www.readbyqxmd.com/read/28321534/factors-influencing-endoscopic-dacryocystorhinostomy-outcome
#9
Kazuhiro Nomura, Kazuya Arakawa, Mitsuru Sugawara, Hiroshi Hidaka, Jun Suzuki, Yukio Katori
Endoscopic dacryocystorhinostomy (DCR) is a widely accepted treatment option for epiphora and dacryocystitis. To elucidate the cause of treatment failure after surgery, we analyzed patients' characteristics and perioperative background in association with poor outcome. We analyzed 165 patients with 213 sides who had endoscopic DCR. The influence of age, duration of symptoms, occlusion site and stent insertion were analyzed. Symptoms were completely cured in 85.0% (181/213) sides. Higher age (≥65 years) and proximal obstruction were associated with a poor prognosis while stent insertion and duration of symptoms were not...
March 20, 2017: European Archives of Oto-rhino-laryngology
https://www.readbyqxmd.com/read/28304387/extubation-following-dacryocystorhinostomy-an-alternative-technique
#10
M Galea, F Shams, E Saxby, E Newcott, V Chadha, E Kemp
No abstract text is available yet for this article.
March 17, 2017: Eye
https://www.readbyqxmd.com/read/28300732/clinical-profile-of-the-patients-with-pediatric-epiphora-in-a-tertiary-eye-care-center
#11
Rebika Dhiman, Bhavna Chawla, Mahesh Chandra, Mandeep S Bajaj, Neelam Pushker
PURPOSE: To study the clinical profile of children aged <10 years presenting with epiphora at a tertiary eye care center, to compare the clinical profile between the early onset (<3 years) and the late-onset (≥3 years) group, and to study the success of different treatment modalities. MATERIALS AND METHODS: A prospective nonrandomized observational study was conducted in 209 eyes of 167 patients (42 bilateral cases). The main outcome measure was postoperative relief of presenting symptoms and signs at 3 months follow-up...
January 2017: Indian Journal of Ophthalmology
https://www.readbyqxmd.com/read/28282250/easy-dacryocystorhinostomy-stent-fixation-and-removal-use-of-a-silicone-sleeve-and-external-stent-removal-from-the-medial-canthus
#12
Kaveh Vahdani, Vladimir Theodor Thaller, Giorgio Albanese
No abstract text is available yet for this article.
March 10, 2017: Orbit
https://www.readbyqxmd.com/read/28272904/image-guided-lacrimal-drainage-surgery-in-congenital-arhinia-microphthalmia-syndrome
#13
Mohammad Javed Ali, Swati Singh, Milind N Naik
The aim of this study was to illustrate the surgical techniques and utility of stereotactic or image-guided navigation in the management of lacrimal drainage obstruction in congenital arhinia-microphtalmia syndrome and review the relevant literature. Image-guided combined external and endoscopic dacryocystorhinostomy was performed in a female, aged 16 years with congenital partial arhinia and ipsilateral microphthalmus. The lacrimal sac was bypassed to the contra lateral nasal cavity through a septal window...
March 8, 2017: Orbit
https://www.readbyqxmd.com/read/28265394/foreign-body-mimicking-malignancy-in-acquired-dacryocystocele
#14
Ahmad A Mirza, Atheer F Alsharif, Omar A Elmays, Osama A Marglani
A featured malignant-like granulation tissue can be the only preoperative clinical clue of a concealed foreign body in the nasal cavity. Thus, endoscopic Dacryocystorhinostomy (DCR) should be completed with intraoperative nasal exploration to reveal non-apparent foreign bodies that might be the underlying etiology of chronic dacryocystocele.
March 2017: Clinical Case Reports
https://www.readbyqxmd.com/read/28258301/-minimally-invasive-diagnostics-and-therapy-of-congenital-nasolacrimal-duct-obstruction
#15
J Heichel, H-G Struck
BACKGROUND: One of the most frequent issues in pediatric ophthalmology concerns congenital nasolacrimal duct obstruction (CNLDO). Typically, irritation of the medial eyelid angle occurs during the first days of life and later increased epiphora appears as tear production is still reduced in young infants. In the case of intrasaccal or postsaccal nasolacrimal duct stenosis, a chronic dacryocystitis develops. METHODS: Modern minimally invasive diagnostics and therapy of CNLDO are reviewed by means of a search of the recent literature and reflection of own experiences...
March 3, 2017: Der Ophthalmologe: Zeitschrift der Deutschen Ophthalmologischen Gesellschaft
https://www.readbyqxmd.com/read/28257135/the-value-of-lacrimal-scintillography-in-the-assessment-of-patients-with-epiphora
#16
O A Vonica, E Obi, Z Sipkova, C Soare, A R Pearson
PurposeTo assess the influence of dacryoscintillography (DSG) on the treatment decision for patients with epiphora and clinically patent non-functioning lacrimal systems.MethodsA retrospective 3-year review. Inclusion: patients having DSG for epiphora with delayed tear clearance, lacrimal system patency on syringing, and no visible external cause for watering. On the basis of regurgitation during syringing, tear ducts were divided into freely patent (FP≤20%) or stenosed. The DSG results were examined for correlation with symptoms and clinical examination, the influence on decision to proceed to dacryocystorhinostomy (DCR), and the ability to predict the surgical outcome...
March 3, 2017: Eye
https://www.readbyqxmd.com/read/28251218/endoscopic-anatomy-of-the-lacrimal-sac-for-dacryocystorhinostomy-a-cadaveric-study
#17
Ameen Alherabi, Osama Marglani, Islam Herzallah, Hassan Shaibah, Tariq Alaidarous, Haddad Alkaff, Mian Farooq, Ashjan Bamahfouz, Talal Al-Khatib, Hani Marzouki
To assist the endoscopic localization of the lacrimal sac (LS)  relative to nearby landmarks. Methods: This is a descriptive prospective anatomical study. Sixteen lateral nasal walls were dissected endoscopically to identify and localize the LS between October and November 2015. Multiple measurements were obtained from the NS to the anterior and posterior walls of the LS, as well as to the middle turbinate axilla (MTA) and from the MTA to the LS borders. Results: The average distance from the NS to the anterior border of the LS was 42...
March 2017: Saudi Medical Journal
https://www.readbyqxmd.com/read/28243017/comparison-of-the-efficacies-of-0-94-mm-and-double-silicone-tubes-for-treatment-of-canalicular-obstruction
#18
Seong Chan Choi, Hye Sun Choi, Jae Woo Jang, Sung Joo Kim, Jung Hye Lee
PURPOSE: To compare the clinical effects of the single wide-diameter bicanalicular silicone tube and the double bicanalicular silicone tube in endonasal dacryocystorhinostomy (DCR) with canalicular trephinization for canalicular obstruction. METHODS: We retrospectively reviewed the records of 121 patients with monocanalicular or common canalicular obstruction who had undergone endonasal DCR with random bicanalicular insertion of either double silicone tubes (insertion of two tubes into each canaliculus) or a single wide-diameter (0...
February 2017: Korean Journal of Ophthalmology: KJO
https://www.readbyqxmd.com/read/28239778/-minimally-invasive-bypass-surgery-for-nasolacrimal-duct-obstruction-transcanalicular-laser-assisted-dacryocystorhinostomy
#19
K R Koch, C Cursiefen, L M Heindl
BACKGROUND: In recent years, the minimally invasive surgical procedure of transcanalicular laser-assisted dacryocystorhinostomy (TKL-DCR) has gained importance in the treatment of primary acquired nasolacrimal duct obstructions (PANDO). OBJECTIVES: Surgical indications, functional success rates, potential advantages, and complications of TKL-DCR are presented and compared with the standard procedures external (EXT-DCR) and endonasal DCR (EN-DCR). METHODS: The study comprises a PubMed literature review and our own clinical results...
February 26, 2017: Der Ophthalmologe: Zeitschrift der Deutschen Ophthalmologischen Gesellschaft
https://www.readbyqxmd.com/read/28237146/is-routine-histopathological-examination-of-dacryocystorhinostomy-dacryocystectomy-specimens-necessary-a-tertiary-eye-hospital-experience
#20
Hind Alkatan, Majed Al-Qurashi
PURPOSE: Limited literature documenting the incidence of unsuspected malignant neoplasm among dacryocystorhinostomy/Dacryocystectomy (DCR/DCT) specimens is reviewed to determine if routine biopsy of all the patients undergoing such procedures is required. We are evaluating if sending lacrimal sac specimens for histopathological examination is necessary as a routine patient's care standard. STUDY DESIGN: This is a retrospective study of all lacrimal sac specimens received for histopathological examination in a tertiary eye hospital over a period of 12 years...
February 2017: Canadian Journal of Ophthalmology. Journal Canadien D'ophtalmologie
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