Shifting to very early endoscopic DCR in acute suppurative dacryocystitis

Farzad Pakdel, Mohammad Soleimani, Abolfazl Kasaei, Kambiz Ameli, Niloofar Pirmarzdashti, Ali Sadeghi Tari, Mehrbod Ghasempour & Ali Banafsheafshan 

Read More

Purpose

We aimed to show the outcome of very early endoscopic dacryocystorhinostomy (VE-EDCR) in a routine pool of patients with acute dacryocystitis (AD) and abscess formation compared with the standard late external dacryocystorhinostomy L-ExDCR.

Methods

This was a prospective nonrandomized comparative study conducted from June 2013 to March 2016. Patients with AD and abscess formation were referred to our oculo-facial clinic in a university-based hospital. All patients received systemic antibiotics and were assigned to either of treatment groups. Patients in group 1 underwent late external transcutaneous DCR (L-ExDCR) and group 2 underwent EDCR within 3 days after first visit, named VE-EDCR. Primary outcome measure was success of surgery.

Results

Forty-one eyes of 41 patients with acute suppurative AD, were included from June 2013 to March 2016. Twenty-two patients underwent VE-EDCR and 19 underwent L-ExDCR. Mean age of patients was 43.41 (SD = 19.84, range 14–98) years. Mean follow-up was 14 (SD = 2.4) months. Anatomic, functional, and overall success in L-ExDCR and VE-EDCR groups were (89.5 and 86.4%, p = 0.99) (89.5% and 86.4%, p = 0.99) (89.5% and 81.8%, p = 0.66) respectively. Mean duration of cellulitis in VE-EDCR and L-ExDCR were 8.00 (SD = 4.63) and 16.11 (SD = 11.58) days, respectively (p = 0.027). No remarkable adverse event was found.

Conclusions

Success of very early endonasal endoscopic DCR is comparable with the traditional late external DCR. Duration of cellulitis is shorter in VE-EDCR. This therapeutic approach can be considered in patients with acute suppurative dacryocystitis.

 

https://www.nature.com/articles/s41433-019-0734-2

 

[/read

Lacrimal Gland Hamartoma (Formerly Termed Dacryoadenoma)

Tatyana Milman, Frederick A. Jakobiec, Sara E. Lally, Jerry A. Shields, Carol L. Shields, Ralph C. Eagle Jr.

Read More

Histopathological and Molecular Features of a Conjunctival Caruncular Deep Penetrating Nevus

van Ipenburg J.A. · Damman J. · Paridaens D. · Verdijk R.M.

Read More

No impact of nasal septoplasty on the outcome of endoscopic dacryocystorhinostomy

Tal Koval, Ofira Zloto, Arkadi Yakirevitch, Guy J. Ben Simon, Joseph Ben-Shoshan, Elad Ben Artsi, Alon Weissman & Ayelet Priel

Read More

Endoscopic dacryocystorhinostomy with and without mucosal flap—is there any difference?

Ofira Zloto, Tal Koval, Arkadi Yakirevich, Guy J Ben Simon, Alon Weissman, Elad Ben Artsi, Joseph Ben Shoshan & Ayelet Priel

Read More

External dacryocystorhinostomy in patients with granulomatous polyangiitis

Christopher M. Stewart & Geoffrey E. Rose

Read More

Congenital nasolacrimal duct obstruction continues trend for spontaneous resolution beyond first year of life

Tomomichi Nakayama, Akihide Watanabe, Saul Rajak, Yukito Yamanaka, Chie Sotozono

Read More

Hypohidrotic ectodermal dysplasia: a case report

Shivcharan Lal Chandravanshi

Read More

IgG4-rich reactive lymphoid hyperplasia of the lacrimal gland

Norberto Mancera , Jasmina Bajric & Curtis E. Margo

Read More
1 2 3 4 37