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Endoscopic dacryocystorhinostomy with and without silicone intubation: 4 years retrospective study

European Archives of Oto-Rhino-Laryngology volume 273, pages 2079–2084 (2016)Cite this article

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.

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Affiliations

  1. 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

    F. Longari, P. Dehgani Mobaraki, R. Lapenna & G. Ricci

  2. Section of Ophthalmology, Department of Surgery and Biomedical Science, S.M. della Misericordia Hospital, University of Perugia, Perugia, Italy

    A. L. Ricci & C. Cagini

Authors
  1. F. Longari
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  2. P. Dehgani Mobaraki
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  3. A. L. Ricci
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  4. R. Lapenna
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  5. C. Cagini
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  6. G. Ricci
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Correspondence to P. Dehgani Mobaraki.

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The authors assert that all procedures contributing to this work comply with the ethical standards of the relevant national and institutional guidelines on human experimentation and with the Helsinki Declaration of 1975, as revised in 2008.

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Longari, F., Dehgani Mobaraki, P., Ricci, A.L. et al. Endoscopic dacryocystorhinostomy with and without silicone intubation: 4 years retrospective study. Eur Arch Otorhinolaryngol 273, 2079–2084 (2016). https://doi.org/10.1007/s00405-015-3876-2

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  • DOI: https://doi.org/10.1007/s00405-015-3876-2

Keywords

  • Endoscopic dacryocystorhinostomy
  • DCR
  • DCR without stent
  • Epiphora
  • Nasolacrimal duct obstruction