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Endoscopic dacryocystorhinostomy with and without silicone intubation: 4 years retrospective study.
Eur Arch Otorhinolaryngol. 2016 Aug; 273(8):2079-84.EA

Abstract

The objective of this study is to assess different outcomes between endoscopic dacryocystorhinostomy (En-DCR) with and without silicone intubation. We retrospectively analyzed 84 patients (89 procedures), suffering from chronic epiphora for primary acquired nasolacrimal duct obstruction, treated with En-DCR and divided into two groups depending on silicone stent intubation. The surgical outcomes were evaluated at 7 post-operative controls using Munk's score criteria. Functional success was defined as absence of epiphora, no further episodes of dacryocystitis, and a patent ostium after fluorescein irrigation. 45 En-DCR with stent and 44 En-DCR without stent were performed. Success rate after 18 months follow-up were, respectively, 82.2 % in the stent group and 88.6 % in the non-stent group (OR 0.59) with no statistical differences. The ostial size reduction has been reported in higher percentage in the stent group, mainly due to peristomal granuloma (OR 3.64), scar tissue formation (OR 2.25), and turbinoseptal synaechia (OR 1.76). The benefits of non-intubation are less patient discomfort, reduced surgical time and costs, simpler follow-up regimen and less intubation-associated complications. En-DCR without silicone stent intubation should be the first choice of procedure, stent intubation should be reserved in selected cases with poor local conditions pre and intra-operatively assessed.

Authors+Show Affiliations

Section of Otorhinolaryngology, Head and Neck Surgery, Department of Surgery and Biomedical Science, S.M. della Misericordia Hospital, University of Perugia, Via G. Dottori 1, 06156, Perugia, PG, Italy.Section of Otorhinolaryngology, Head and Neck Surgery, Department of Surgery and Biomedical Science, S.M. della Misericordia Hospital, University of Perugia, Via G. Dottori 1, 06156, Perugia, PG, Italy. dehganipuya@gmail.com.Section of Ophthalmology, Department of Surgery and Biomedical Science, S.M. della Misericordia Hospital, University of Perugia, Perugia, Italy.Section of Otorhinolaryngology, Head and Neck Surgery, Department of Surgery and Biomedical Science, S.M. della Misericordia Hospital, University of Perugia, Via G. Dottori 1, 06156, Perugia, PG, Italy.Section of Ophthalmology, Department of Surgery and Biomedical Science, S.M. della Misericordia Hospital, University of Perugia, Perugia, Italy.Section of Otorhinolaryngology, Head and Neck Surgery, Department of Surgery and Biomedical Science, S.M. della Misericordia Hospital, University of Perugia, Via G. Dottori 1, 06156, Perugia, PG, Italy.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

26732693

Citation

Longari, F, et al. "Endoscopic Dacryocystorhinostomy With and Without Silicone Intubation: 4 Years Retrospective Study." European Archives of Oto-rhino-laryngology : Official Journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : Affiliated With the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery, vol. 273, no. 8, 2016, pp. 2079-84.
Longari F, Dehgani Mobaraki P, Ricci AL, et al. Endoscopic dacryocystorhinostomy with and without silicone intubation: 4 years retrospective study. Eur Arch Otorhinolaryngol. 2016;273(8):2079-84.
Longari, F., Dehgani Mobaraki, P., Ricci, A. L., Lapenna, R., Cagini, C., & Ricci, G. (2016). Endoscopic dacryocystorhinostomy with and without silicone intubation: 4 years retrospective study. European Archives of Oto-rhino-laryngology : Official Journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : Affiliated With the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery, 273(8), 2079-84. https://doi.org/10.1007/s00405-015-3876-2
Longari F, et al. Endoscopic Dacryocystorhinostomy With and Without Silicone Intubation: 4 Years Retrospective Study. Eur Arch Otorhinolaryngol. 2016;273(8):2079-84. PubMed PMID: 26732693.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Endoscopic dacryocystorhinostomy with and without silicone intubation: 4 years retrospective study. AU - Longari,F, AU - Dehgani Mobaraki,P, AU - Ricci,A L, AU - Lapenna,R, AU - Cagini,C, AU - Ricci,G, Y1 - 2016/01/05/ PY - 2015/05/25/received PY - 2015/12/23/accepted PY - 2016/1/7/entrez PY - 2016/1/7/pubmed PY - 2017/3/30/medline KW - DCR KW - DCR without stent KW - Endoscopic dacryocystorhinostomy KW - Epiphora KW - Nasolacrimal duct obstruction SP - 2079 EP - 84 JF - European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery JO - Eur Arch Otorhinolaryngol VL - 273 IS - 8 N2 - The objective of this study is to assess different outcomes between endoscopic dacryocystorhinostomy (En-DCR) with and without silicone intubation. We retrospectively analyzed 84 patients (89 procedures), suffering from chronic epiphora for primary acquired nasolacrimal duct obstruction, treated with En-DCR and divided into two groups depending on silicone stent intubation. The surgical outcomes were evaluated at 7 post-operative controls using Munk's score criteria. Functional success was defined as absence of epiphora, no further episodes of dacryocystitis, and a patent ostium after fluorescein irrigation. 45 En-DCR with stent and 44 En-DCR without stent were performed. Success rate after 18 months follow-up were, respectively, 82.2 % in the stent group and 88.6 % in the non-stent group (OR 0.59) with no statistical differences. The ostial size reduction has been reported in higher percentage in the stent group, mainly due to peristomal granuloma (OR 3.64), scar tissue formation (OR 2.25), and turbinoseptal synaechia (OR 1.76). The benefits of non-intubation are less patient discomfort, reduced surgical time and costs, simpler follow-up regimen and less intubation-associated complications. En-DCR without silicone stent intubation should be the first choice of procedure, stent intubation should be reserved in selected cases with poor local conditions pre and intra-operatively assessed. SN - 1434-4726 UR - https://www.unboundmedicine.com/medline/citation/26732693/Endoscopic_dacryocystorhinostomy_with_and_without_silicone_intubation:_4_years_retrospective_study_ L2 - https://dx.doi.org/10.1007/s00405-015-3876-2 DB - PRIME DP - Unbound Medicine ER -