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Dacryocystorhinostomy

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https://www.readbyqxmd.com/read/29121183/primary-vs-secondary-endoscopic-dacryocystorhinostomy-for-acute-dacryocystitis-with-lacrimal-sac-abscess-formation-a-randomized-clinical-trial
#1
Emmy Y Li, Emily S Wong, Alex C Wong, Hunter K Yuen
Importance: Endoscopic dacryocystorhinostomy (EN-DCR) is emerging as the preferred procedure in the management of nasolacrimal duct obstructions. However, its safety and long-term efficacy in the setting of acute dacryocystitis with lacrimal sac abscess have not been well studied. Objective: To compare outcomes of EN-DCR as primary treatment with EN-DCR as a secondary treatment after percutaneous drainage of lacrimal sac abscess in acute dacryocystitis. Design, Setting, and Participants: This randomized clinical trial was conducted from October 1, 2012, to October 31, 2015, at a tertiary ophthalmic center...
November 9, 2017: JAMA Ophthalmology
https://www.readbyqxmd.com/read/29071273/chronic-lymphocytic-leukaemia-small-cell-lymphocytic-lymphoma-of-the-lacrimal-sac-a-case-series
#2
Yamini Krishna, Luciane D Irion, Sozan Karim, Aruna Dharmsena, Austin McCormick, Sarah E Coupland
BACKGROUND: Lymphomas of the lacrimal sac are rare, accounting for less than 10% of lacrimal sac malignant tumours. They may present with symptoms typical of secondary acquired nasolacrimal duct obstruction and are thus often misdiagnosed. METHODS: Case series and literature review. RESULTS: Herein we describe 3 cases of chronic lymphocytic leukaemia (CLL)/small-cell lymphocytic lymphoma (SLL) of the lacrimal sac with immunohistochemical and in 1 case molecular confirmation...
September 2017: Ocular Oncology and Pathology
https://www.readbyqxmd.com/read/29053675/transcanalicular-diode-laser-assisted-dacryocystorhinostomy-for-the-treatment-of-primary-acquired-nasolacrimal-duct-obstruction
#3
Joel M Mor, Yongwei Guo, Konrad R Koch, Ludwig M Heindl
Today's gold standard in the treatment of infrasaccal primary acquired nasolacrimal duct obstruction (PANDO) is external dacryocystorhinostomy (DCR), a relatively invasive procedure that can be performed after failure of recanalizing treatments. However, with progress in the field of diode laser technology, new approaches have emerged. Laser-assisted transcanalicular DCR with subsequent bicanalicular silicon intubation is a new option showing great promise as a viable minimally invasive procedure. Under permanent endoscopic visual control from the nasal cavity, a diode laser fiber is inserted into the lacrimal sac and laser energy is applied to create a bony ostium between the lacrimal sac and the nasal cavity...
October 13, 2017: Journal of Visualized Experiments: JoVE
https://www.readbyqxmd.com/read/29044070/pediatric-dacryocystorhinostomy
#4
Mohammad Javed Ali
No abstract text is available yet for this article.
October 2017: Indian Journal of Ophthalmology
https://www.readbyqxmd.com/read/29044069/primary-nonendoscopic-endonasal-versus-external-dacryocystorhinostomy-in-nasolacrimal-duct-obstruction-in-children
#5
Nandini Bothra, Raashid M Wani, Anasua Ganguly, Devjyoti Tripathy, Suryasnata Rath
PURPOSE: The aim is to compare the outcome of nonendoscopic endonasal dacryocystorhinostomy (NEN DCR) with external DCR (EXT-DCR) in the treatment of nasolacrimal duct obstruction (NLDO) in children. METHODS: A retrospective, comparative chart analysis of all consecutive children <16 years after EXT-DCR or NEN-DCR between June 2012 and February 2016. RESULTS: Seventy-one children (79 eyes) underwent DCR in the study, of which 37 children (40 eyes) underwent EXT-DCR and 34 (39 eyes) NEN-DCR...
October 2017: Indian Journal of Ophthalmology
https://www.readbyqxmd.com/read/29040001/is-gastroesophageal-reflux-disease-associated-with-primary-acquired-nasolacrimal-duct-obstruction
#6
Sonul Mehta, Gui-Shuang Ying, Ahsen Hussain, John T Harvey
PURPOSE: To determine if patients with primary acquired nasolacrimal duct obstruction (PANDO) have an increased prevalence of gastroesophageal reflux disease (GERD) compared to the general population. METHODS: Cross-sectional case-control study. The Mayo Clinic Reflux Disease Questionnaire (RDQ) is used to help physicians diagnose GERD. The retrospective group consisted of patients who previously had a dacryocystorhinostomy (DCR) over a 4-year period by one surgeon (JTH) at one institution...
October 17, 2017: Orbit
https://www.readbyqxmd.com/read/29039995/preferred-practice-patterns-in-endoscopic-dacryocystorhinostomy-among-oculoplastic-surgeons-in-asia-pacific-region
#7
Tracy Kwok, Mohammad Javed Ali, Hunter Yuen
PURPOSE: The aim of this study is to report the preferred practice patterns in endoscopic dacryocystorhinostomy (EnDCR) among oculoplastic surgeons practicing in the Asia-Pacific region. METHODS: A detailed survey with 40 questions was electronically disseminated among oculoplastic surgeons practicing in Asia-Pacific region. The mailing list included targeted members of the Asia Pacific Society of Ophthalmic Plastic and Reconstructive Surgery and nonmembers from the contact directories of the two senior authors...
October 17, 2017: Orbit
https://www.readbyqxmd.com/read/29026185/simple-fixation-and-removal-of-dacryocystorhinostomy-tube
#8
K Vahdani, G Albanese, V T Thaller
No abstract text is available yet for this article.
October 13, 2017: Eye
https://www.readbyqxmd.com/read/28985810/effectiveness-of-indocyanine-green-gel-in-the-identification-and-complete-removal-of-the-medial-wall-of-the-lacrimal-sac-during-endoscopic-endonasal-dacryocystorhinostomy
#9
Jinhwan Park, Jongsuk Lee, Hwa Lee, Sehyun Baek
OBJECTIVE: We investigated the effect of using indocyanine green (ICG) gel, a mixture of ICG and Viscoat, on complete removal of the medial wall of the lacrimal sac as well as the success rate of endoscopic endonasal dacryocystorhinostomy (DCR) for primary acquired nasolacrimal duct obstruction. METHODS: Consecutive cases of endoscopic endonasal DCR between January and December 2010 were included in a retrospective, comparative manner. A total of 91 patients with primary acquired nasolacrimal duct obstruction were enrolled...
October 2017: Canadian Journal of Ophthalmology. Journal Canadien D'ophtalmologie
https://www.readbyqxmd.com/read/28964933/endonasal-dacryocystorhinostomy-in-children-our-experience
#10
Hetal Marfatia, Keya Shah, Swapna Patil, Yogesh Parmar
INTRODUCTION: Epiphora affects approximately 20% neonates, but most resolve spontaneously. Dacryocystorhinostomy (DCR) is indicated only when conservative management fails. OBJECTIVE: To observe clinical presentation, treatment modalities and effectiveness of endoscopic DCR in paediatric population. METHODS: It is a prospective study of 21 children done at our tertiary care hospital from 2011 to 2016. All were initially subjected to a trial of conservative management...
November 2017: International Journal of Surgery
https://www.readbyqxmd.com/read/28964297/paediatric-endonasal-dacryocystorhinostomy-using-an-otology-set-how-i-do-it
#11
Hetal Marfatia, Keya Shah, Asmita Madhavi, Yogesh Parmar
INTRODUCTION: Endonasal DCR is safely performed in children presenting with persistent epiphora, not responding to conservative management. The surgical technique of endoscopic DCR in the paediatric age group essentially remains the same as that performed in adults, but children have narrower nasal passages and relatively larger inferior turbinates which limit the surgeon's working space. The standard 2.7 mm paediatric nasal endoscope gives a smaller surgical work field as compared to the 4 mm adult endoscope...
October 2017: International Journal of Pediatric Otorhinolaryngology
https://www.readbyqxmd.com/read/28913995/intraoperatively-observed-lacrimal-obstructive-features-and-surgical-outcomes-in-external-dacryocystorhinostomy
#12
Min Joung Lee, Sang In Khwarg, In Hyuk Kim, Jeong Hoon Choi, Youn Joo Choi, Namju Kim, Ho Kyung Choung
PURPOSE: To analyze the features of lacrimal drainage system obstruction confirmed during external dacryocystorhinostomy surgeries and report the surgical outcomes. METHODS: We reviewed the medical records of a total of 769 cases who underwent external dacryocystorhinostomy for primary lacrimal drainage obstruction between 2005 and 2014. Data about detailed location and extent of obstruction were collected intraoperatively. The sites of obstruction were classified into nasolacrimal duct obstruction (NLDO), common canalicular obstruction (CCO), and canalicular obstruction...
October 2017: Korean Journal of Ophthalmology: KJO
https://www.readbyqxmd.com/read/28895636/-minimally-invasive-therapy-of-lacrimal-drainage-system-stenosis
#13
Georgia Avgitidou, Konrad R Koch, Ludwig M Heindl
Epiphora is one of the most common symptoms for clinical ophthalmological consultation. This symptom is mostly caused by stenosis of the lacrimal drainage system. Over a century, external dacryocystostomy according to Toti was the treatment of choice. Today, new very encouraging minimally invasive techniques for recanalisation of the lacrimal drainage system, such as microdrilldacryoplasty or laserdacryoplasty, as well as bypass-based techniques, such as transcanalicular laser-assisted dacryocystorhinostomy, become more important in the treatment of dacryostenosis...
September 2017: Klinische Monatsblätter Für Augenheilkunde
https://www.readbyqxmd.com/read/28860918/accidentally-diagnosed-transitional-cell-papilloma-of-the-lacrimal-sac
#14
Tarjani Vivek Dave, Dilip Mishra, Ruchi Mittal, Mohammad Javed Ali
Lacrimal sac tumors are extremely rare but can be life threatening. Seventy percent of lacrimal sac tumors are of epithelial origin. Inverted transitional cell papilloma of the lacrimal sac is a rare epithelial sinonasal tumor of benign etiology with local invasion and malignant potential. These lesions may remain undiagnosed or may present with signs and symptoms of dacryocystitis or may transform to transitional cell carcinomas. Most lesions are diagnosed intra-operatively while performing a dacryocystorhinostomy...
July 2017: Saudi Journal of Ophthalmology: Official Journal of the Saudi Ophthalmological Society
https://www.readbyqxmd.com/read/28860917/hyperbaric-oxygen-in-the-management-of-wound-tissue-necrosis-after-external-dacrocystorhinostomy
#15
Alicia Galindo-Ferreiro, Ahmed Ghetami, Diego Strianese, Sahar Elkhamary, Deepak P Edward, Antonio Palma, Silvana A Schellini
Hyperbaric oxygen is an adjunctive treatment for promoting wound healing and reducing infection. We present an unusual case of wound tissue necrosis occurring after external dacryocystorhinostomy (ExtDCR) that was subsequently treated with hyperbaric oxygen (HBO) and advancement flaps with good outcome. HBO improves vascularization of ischemic tissues after ExtDCR for greater success after reconstructive surgery.
July 2017: Saudi Journal of Ophthalmology: Official Journal of the Saudi Ophthalmological Society
https://www.readbyqxmd.com/read/28860912/causes-of-unsatisfactory-results-of-the-use-of-mitomycin-c-in-endoscopic-endonasal-dacryocystorhinostomy
#16
E L Atkova, A A Fedorov, A O Root, S D Iartsev, N N Krakhovetsky, V D Yartsev
PURPOSE: To study the antifibrotic effectiveness of mitomycin-C in the tissues of the ostium site after it application for endonasal endoscopic dacryocystorhinostomy. MATERIAL AND METHODS: The study included 45 patients (48 cases) with primary obstruction of the nasolacrimal duct. All patients underwent endoscopic endonasal dacryocystorhinostomy (EEDCR). At the final stage of the operation, a swab with MMC was placed in the region of the formed ostium at a concentration of 0...
July 2017: Saudi Journal of Ophthalmology: Official Journal of the Saudi Ophthalmological Society
https://www.readbyqxmd.com/read/28860911/indian-survey-on-practice-patterns-of-lacrimal-eyelid-disorders-isupple-report-3-cataract-and-nasolacrimal-duct-obstruction
#17
Akshay Gopinathan Nair, Saurabh Kamal, Aniruddha Agarwal
AIM: To assess the practice patterns pertaining to pre-cataract screening for nasolacrimal duct obstruction (NLDO) among oculoplastic surgeons in India. The survey was aimed at obtaining data on the current screening and treatment strategies for NLDO and the interval between lacrimal surgery and subsequent cataract surgery. METHODS: An online survey was sent to all members of Oculoplastic Association of India. All valid responses were tabulated and analyzed. RESULTS: Majority of the respondents (92%) felt that nasolacrimal duct patency should be checked prior to performing cataract surgery: 59...
July 2017: Saudi Journal of Ophthalmology: Official Journal of the Saudi Ophthalmological Society
https://www.readbyqxmd.com/read/28860907/endoscopic-intranasal-findings-in-unilateral-primary-acquired-nasolacrimal-duct-obstruction
#18
Swati Singh, Mohammad Shahid Alam, Mohammad Javed Ali, Milind N Naik
PURPOSE: To evaluate intranasal endoscopic findings in patients with unilateral primary acquired nasolacrimal duct obstruction and compare them with the normal cohort. METHODS: A prospective case-control study with 50 unilateral primary acquired nasolacrimal duct obstruction (PANDO) and 50 healthy controls. All patients were evaluated by endoscopic nasal examination for the presence of deviated nasal septum (DNS), type of deviation (bony or cartilaginous), side of deviation, septal spurs, caudal dislocation, any turbinate hypertrophy and endoscopic features suggestive of sinusitis...
July 2017: Saudi Journal of Ophthalmology: Official Journal of the Saudi Ophthalmological Society
https://www.readbyqxmd.com/read/28859711/primary-endoscopic-endonasal-dacryocystorhinostomy-for-pediatric-nasolacrimal-duct-obstruction-a-systematic-review
#19
Jeyasakthy Saniasiaya, Baharudin Abdullah, Salina Husain, De Yun Wang, Zahiruddin Wan Mohammad
BACKGROUND: Epiphora secondary to nasolacrimal duct obstruction is common in the pediatric age group. The mainstay treatment among these young patients has been conservative. Once epiphora becomes recalcitrant, however, an external or an endonasal approach is considered. OBJECTIVE: Endoscopic dacryocystorhinostomy (EDCR) entails creating an opening from the lacrimal sac directly into the nasal cavity to counteract nasolacrimal duct obstruction. We reviewed the literature to determine the effectiveness and the safety of primary EDCR to treat pediatric nasolacrimal duct obstruction...
September 1, 2017: American Journal of Rhinology & Allergy
https://www.readbyqxmd.com/read/28856113/a-comparative-study-on-the-efficacy-of-oral-memantine-and-placebo-for-acute-postoperative-pain-in-patients-undergoing-dacryocystorhinostomy-dcr
#20
Poupak Rahimzadeh, Farnad Imani, Nasim Nikoubakht, Zahra Koleini, Seyed Hamid Reza Faiz, Azadeh Sayarifard
BACKGROUND: Memantine is an N-methyl-D-Aspartate (NMDA) antagonist. By transferring acute postoperative pain, the NMDA channels may lead to active excess and neuropathic pain. Objectives: This study attempted to investigate the effect of preoperative use of single oral dose of memantine in controlling Dacryocystorhinostomy (DCR) postoperative pain. METHODS: A double-blind clinical trial was conducted on 60 patients undergoing DCR. On arrival at the operating room, the memantine group received 20 mg of oral memantine and the control group received placebo...
June 2017: Anesthesiology and Pain Medicine
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