Lacrimal duct Surgery : Different Techniques and Long-Term Postoperative Results
Casasayas, Maria (Institut de Recerca Sant Pau)
Massegur-Solench, Humbert (Hospital de la Santa Creu i Sant Pau (Barcelona, Catalunya))
Martel-Marín, María (Hospital del Mar (Barcelona, Catalunya))
Kolanczak, Kataryna Alicja (Institut de Recerca Sant Pau)
Holgado, Anna (Hospital de la Santa Creu i Sant Pau (Barcelona, Catalunya))
Gras-Cabrerizo, Juan Ramon (Institut de Recerca Sant Pau)
Universitat Autònoma de Barcelona

Fecha:	2024
Resumen:	Pre-saccal obstructions of the lacrimal duct can be solved with a conjunctivodacryocystorhinostomy while saccal or post-saccal obstructions are restored with an external, endoscopic or laser dacryocystorhinostomy (DCR). The aim of the present study is to review the indications for each technique and to compare the results achieved. Retrospective review of 335 patients in whom 440 surgeries of the lacrimal duct were performed, with at least 4 months of follow-up. Outcomes in terms of symptoms and endoscopic findings during follow-up were considered. Successful results understood as resolution of symptoms were observed in 85% of cases treated with endoscopic DCR and in 62% of cases after laser DCR (p < 0. 001). Among patients with recurrence of epiphora after surgery, 32% showed a visible ostium during endoscopy. Sixty-eight conjunctivodacryocystorhinostomies were performed, 68% of which required a tube replacement due to obstruction or extrusion. The mean duration of the tubes replaced was 10 months (range 3 days - 95 months). Endoscopic DCR shows better success rates than laser DCR. A considerable percentage of failures after DCR surgery present a visible ostium on endoscopic examination. This fact should lead to reconsider the initial diagnosis, ruling out functional problems or canalicular obstructions.
Nota:	Altres ajuts: acords transformatius de la UAB
Derechos:	Aquest document està subjecte a una llicència d'ús Creative Commons. Es permet la reproducció total o parcial, la distribució, la comunicació pública de l'obra i la creació d'obres derivades, fins i tot amb finalitats comercials, sempre i quan es reconegui l'autoria de l'obra original.
Lengua:	Anglès
Documento:	Article ; recerca ; Versió publicada
Materia:	Endoscopic surgery ; Epiphora ; Conjunctivodacryorhinostomy ; Dacryocystorhinostomy ; Lacrimal duct obstruction
Publicado en:	Indian journal of otolaryngology and head and neck surgery, 2024 , ISSN 0973-7707

DOI: 10.1007/s12070-024-04670-3

6 p, 705.7 KB

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