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The use of an ostial stent does not increase the success rate of endoscopic dacryocystorhinostomy

Published online by Cambridge University Press:  12 July 2018

M E Dinc ,
S Ulusoy ,
E Sahin ,
N Bozan ,
M O Avincsal ,
B Tutar  and
Y Uyar
M E Dinc*
Affiliation:
Department of Otolaryngology, Head and Neck Surgery, Okmeydanı Research and Training Hospital, Istanbul, Turkey
S Ulusoy
Affiliation:
Department of Otolaryngology, Head and Neck Surgery, Sisli Kolan International Hospital, Istanbul, Turkey
E Sahin
Affiliation:
Department of Otolaryngology, Head and Neck Surgery, Bayındır Hospital İçerenköy, Istanbul, Turkey
N Bozan
Affiliation:
Department of Otolaryngology, Head and Neck Surgery, Yuzuncu Yıl University, Medical Faculty, Van, Turkey
M O Avincsal
Affiliation:
Department of Otolaryngology, Head and Neck Surgery, Istanbul Gaziosmanpasa Taksim Research and Training Hospital, Turkey
B Tutar
Affiliation:
Department of Otolaryngology, Head and Neck Surgery, Okmeydanı Research and Training Hospital, Istanbul, Turkey
Y Uyar
Affiliation:
Department of Otolaryngology, Head and Neck Surgery, Okmeydanı Research and Training Hospital, Istanbul, Turkey
*
Author for correspondence: Dr Mehmet Emre Dinc, Göktürk mahallesi Istanbul caddesi Arketip 2 sitesi B 55 Eyüp, Istanbul, Turkey E-mail: dremredinc@hotmail.com Fax: +90 212 221 78 00
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Abstract

Objective

This prospective, controlled study assessed how placing a stent into a newly formed ostium affects ostial patency, success and complication rates in endoscopic dacryocystorhinostomy patients.

Methods

In group 1 (40 eyes of 36 patients), both silicone tube intubation and tube stenting were performed. In group 2 (36 eyes of 34 patients), only silicone tube intubation was performed. Success, operative time and post-surgical complications were investigated two months post-operatively in each group.

Results

The success rates were 92.5 per cent and 83.3 per cent for groups 1 and 2 respectively, but the difference was not statistically significant (p = 0.294). The complication rates also differed between the two groups, but this was again insignificant.

Conclusion

Compared with the use of a silicone tube alone, the addition of an ostial stent did not significantly increase the success rate of endoscopic dacryocystorhinostomy.

Keywords

DacryocystorhinostomyEndoscopyLacrimal Duct ObstructionIntubationStents
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 132 , Issue 8 , August 2018 , pp. 718 - 723
Copyright
Copyright © JLO (1984) Limited, 2018 

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Footnotes

Dr M E Dinc takes responsibility for the integrity of the content of the paper

References

1Toti, A. A new conservative method (dacryocystorhinostomy) for the radical treatment of chronic suppuration of the lacrimal sac [in Italian]. Clin Mod Firenze 1904;10:385–7Google Scholar
2Caldwell, GW. Two new operations for obstruction of the nasal duct, with preservation of the canaliculi and an incidental description of a new lacrimal probe. NY Med J 1893;57:581–2Google Scholar
3West, GM. A window resection of the nasal duct in cases of stenosis. Trans Am Ophthalmol Soc 1910;12:654–8Google Scholar
4McDonogh, M, Meiring, JH. Endoscopic transnasal dacryocystorhinostomy. J Laryngol Otol 1989;100:585–7Google Scholar
5Tsirbas, A, Davis, G, Wormald, PJ. Mechanical endonasal dacryocystorhinostomy versus external dacryocystorhinostomy. Ophthal Plast Reconstr Surg 2004;20:50–6Google Scholar
6Allen, K, Berlin, AJ. Dacryocystorhinostomy failure: association with nasolacrimal silicone intubation. Ophthalmic Surg 1989;20:486–9Google Scholar
7Linberg, JV, Anderson, RL, Bumsted, RM, Barreras, R. Study of intranasal ostium external dacryocystorhinostomy. Arch Ophthalmol 1982;100:1758–62Google Scholar
8Selig, YK, Biesman, BS, Rebeiz, EE. Topical application of mitomycin-C in endoscopic dacryocystorhinostomy. Am J Rhinol 2000;14:205–7Google Scholar
9Sham, CL, van Hasselt, CA. Endoscopic terminal dacryocystorhinostomy. Laryngoscope 2000;110:1045–9Google Scholar
10Apaydin, KC, Fisenk, F, Karayalcin, B, Akar, Y, Saka, O. Endoscopic transnasal dacryocystorhinostomy and bicanalicular silicone tube intubation. Ophthalmologica 2004;218:306–11Google Scholar
11Tabatabaie, SZ, Heirati, A, Rajabi, MT, Kasaee, A. Silicone intubation with intraoperative mitomycin C for nasolacrimal duct obstruction in adults: a prospective, randomized, double-masked study. Ophthalmic Plast Reconstr Surg 2007;23:455–8Google Scholar
12Ulusoy, S, Dizdar, D, Dinç, ME. A simple technique to avoid restenosis for dacryocystorhinostomy. J Craniofac Surg 2016;27:e233Google Scholar
13Saroj, G, Rashmi, G. Conventional dacryocystorhinostomy versus endonasal dacryocystorhinostomy–a comparative study. Indian J Otolaryngol Head Neck Surg 2010;62:296–8Google Scholar
14Kim, KN, Lee, YH, Kim, JY, Lee, SB. The efficacy of sleeve technique in primary nasolacrimal duct obstruction with a high lacrimal sac. Indian J Ophthalmol 2014;62:442–5Google Scholar
15Shin, DB, Kim, JC, Lee, SB, Park, KS. The effects of placement of silicone tube and e-PTFE stent in external dacryocystorhinostomy. J Korean Ophthalmol Soc 2003;44:788–93Google Scholar
16Griffiths, JD. Nasal catheter use in dacryocystorhinostomy. Ophthal Plast Reconstr Surg 1991;7:177–86Google Scholar
17Kashkouli, MB, Beigi, B, Tarassoly, K, Kempster, RC. Endoscopically assisted balloon dacryocystoplasty and silicone intubation versus silicone intubation alone in adults. Eur J Ophthalmol 2006;16:514–19Google Scholar
18Kirtane, MV, Lall, A, Chavan, K, Satwalekar, D. Endoscopic dacryocystorhinostomy with flap suturing. Indian J Otolaryngol Head Neck Surg 2013;65:236–41Google Scholar
19Mohamad, SH, Khan, I, Shakeel, M, Nandapalan, V. Long-term results of endonasal dacryocystorhinostomy with and without stenting. Ann R Coll Surg Engl 2013;95:196–9Google Scholar
20Chan, W, Selva, D. Ostium shrinkage after endoscopic dacryocystorhinostomy. Ophthalmology 2013;120:1693–6Google Scholar
21Ciftci, F, Erşanli, D, Civelek, L, Baloglu, H, Karadayi, K, Güngör, A. Histopathologic changes in the lacrimal sac of dacryocystorhinostomy patients with and without silicone intubation. Ophthal Plast Reconstr Surg 2005;21:59–64Google Scholar