Endoscopic dacryocystorhinostomy, our experience at the Hospital Universitario San Ignacio between 2017-2020
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Abstract
Introduction: Dacryocystorhinostomy (DCR) is a surgical technique used to establish communication between the lacrimal duct and the nasal cavity. Traditionally, this procedure has been performed externally, but recent advances in endoscopic
surgery have increased its use. As lacrimal duct disorders are common in otorhinolaryngology
surgical practice, it is important to characterize this population and identify post-surgical results. Objectives: The objective of this study was to describe the surgical technique and outcomes of adult patients undergoing endoscopic transnasal dacryocystorhinostomy (DCR) at Hospital Universitario San Ignacio between 2017 and 2020. Materials and Methods: A retrospective descriptive study was conducted on adult patients who underwent endoscopic transnasal DCR between
2017 and 2020. Results: Ninety-three adult patients were analyzed, with a mean age of 61 years at the time of the procedure. Obstruction of the lacrimal duct was the main etiology identified in 70.6% (74 patients). Improvement in epiphora was found
in 82% (77 patients) with a range of 60% to 100%. During endoscopic follow-up, lacrimal sac patency was identified in 94.6% of cases (88 patients). On average, removal of the Crawford set was performed at 10.8 months. Discussion: Lacrimal duct obstruction manifests with epiphora, recurrent infectious processes, or visual changes. It has been shown that DCR effectiveness rates are comparable to those
obtained in external approaches, with the advantage of a lower risk of complications and absence of external scars.
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References
1. Woog JJ. The incidence of symptomatic acquired lacrimal outflow obstruction among residents of Olmsted County, Minnesota, 1976-2000 (an American Ophthalmological Society thesis). Trans Am Ophthalmol Soc. 2007;105:649-66.
2. Klap P, Bernard J-A, Cohen M, Schapiro D, Heran F. Dacriocistorrinostomía endoscópica. EMC - Cirugía Otorrinolaringológica y Cervicofacial. 2011;12(1):1-17. doi: 10.1016/s1635-2505(11)71156-2
3. Weller C, Leyngold I. Dacryocystorhinostomy: Indications and surgical technique. Oper Tech Otolaryngol - Head Neck Surg. 2018;29(4):203-7. doi: 10.1016/j.otot.2018.10.004.
4. Weitzel EK, Wormald PJ. 53 - Endoscopic Dacryocystorhinostomy [Internet]. Sixth Edit. Cummings Otolaryngology. Elsevier Inc.; 2020. p. 816-822.e1. doi: 10.1016/B978-1-4557-4696-5.00053-1
5. Su PY. Comparison of endoscopic and external dacryocystorhinostomy for treatment of primary acquired nasolacrimal duct obstruction. Taiwan J Ophthalmol. 2018;8(1):19-23. doi: 10.4103/tjo.tjo_10_18
6. Martínez Ruiz-Coello A, Arellano Rodríguez B, Martín González C, López-Cortijo Gómez De Salazar C, Laguna Ortega D, García-Berrocal JR, et al. Resultados de 12 años de dacriocistorrinostomía endoscópica. Acta Otorrinolaringol Esp. 2011;62(1):20-4. doi: 10.1016/j.otorri.2010.09.003
7. Huang J, Malek J, Chin D, Snidvongs K, Wilcsek G, Tumuluri K, et al. Systematic review and meta-analysis on outcomes for endoscopic versus external dacryocystorhinostomy. Orbit. 2014;33(2):81-90. doi: 10.3109/01676830.2013.842253
8. Xie C, Zhang L, Liu Y, Ma H, Li S. Comparing the Success Rate of Dacryocystorhinostomy With and Without Silicone Intubation: A Trial Sequential Analysis of Randomized Control Trials. Sci Rep. 2017;7(1):1936. doi: 10.1038/s41598-017-02070-y
9. Perry LJ, Jakobiec FA, Zakka FR, Rubin PA. Giant dacryocystomucopyocele in an adult: a review of lacrimal sac enlargements with clinical and histopathologic differential diagnoses. Surv Ophthalmol. 2012;57(5):474-85. doi: 10.1016/j.survophthal.2012.02.003
10. Singh S, Ali MJ. Congenital Dacryocystocele: A Major Review. Ophthalmic Plast Reconstr Surg. 2019;35(4):309-17. doi: 10.1097/IOP.0000000000001297
11. Chisty N, Singh M, Ali MJ, Naik MN. Long-term outcomes of powered endoscopic dacryocystorhinostomy in acute dacryocystitis. Laryngoscope. 2016;126(3):551-3. doi: 10.1002/lary.25380
12. Rocha EM, Alves M, Rios JD, Dartt DA. The aging lacrimal gland: changes in structure and function. Ocul Surf. 2008;6(4):162-74. doi: 10.1016/s1542-0124(12)70177-5
13. Penttila E, Smirnov G, Tuomilehto H, Kaarniranta K, Seppa J. Endoscopic dacryocystorhinostomy as treatment for lower lacrimal pathway obstructions in adults: Review article. Allergy Rhinol (Providence). 2015;6(1):12-9. doi: 10.2500/ar.2015.6.0116
14. Maini S, Raghava N, Youngs R, Evans K, Trivedi S, Foy C, et al. Endoscopic endonasal laser versus endonasal surgical dacryocystorhinostomy for epiphora due to nasolacrimal duct obstruction: prospective, randomised, controlled trial. J Laryngol Otol. 2007;121(12):1170-6. doi: 10.1017/S0022215107009024
15. Kamal S, Ali MJ, Pujari A, Naik MN. Primary Powered Endoscopic Dacryocystorhinostomy in the Setting of Acute Dacryocystitis and Lacrimal Abscess. Ophthalmic Plast Reconstr Surg. 2015;31(4):293-5. doi: 10.1097/IOP.0000000000000309