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Lacrimal sac dacryolith (76 cases): a predictive factor for successful endonasal dacryocystorhinostomy?

  • Rhinology
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Abstract

To evaluate whether the presence of dacryolith is a predictive factor for successful dacryocystorhinostomy. The success rate of endonasal dacryocystorhinostomy (EDCR) performed to relieve obstruction of the nasolacrimal duct was evaluated according to the presence of dacryolithiasis. The surgical results of patients with (group I) and without dacryoliths (group II) were analysed and compared 1-year post surgery. A total of 771 EDCRs performed from 1994 to 2010 were evaluated. Dacryolith was found in 76/771 procedures (9.9 %). Complete improvement was achieved significantly more frequently in group I (76/76; 100.0 %) than in group II (633/695; 91.1 %; p < 0.001). EDCRs were performed significantly more frequently in people aged 31–50-years, the average age of the group I was 41.1 years (range 18–72 years), of the group II 53.3 years (range 3 months–86 years; p < 0.001). There was no significant difference in the female-to-male ratio in the two groups. The presence of dacryoliths is a predictive factor for successful endonasal dacryocystorhinostomy.

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Acknowledgments

This work was supported by the Institutional support of the Ministry of Health No 2 RVO-FNOs/2013.

Conflict of interest

The authors declare that we have no conflict of interests.

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Authors and Affiliations

  1. Department of Otorhinolaryngology, University Hospital Ostrava, Ostrava, Czech Republic

    Pavel Komínek, Stanislav Červenka, Karol Zeleník, Tomáš Pniak & Petr Matoušek

  2. Department of Ophthalmology, Otrokovice, Czech Republic

    Stanislav Červenka

  3. Department of Surgical Studies, Faculty of Medicine, University of Ostrava, Ostrava, Czech Republic

    Karol Zeleník & Petr Matoušek

  4. Department of Epidemiology and Public Health, Faculty of Medicine, University of Ostrava, Ostrava, Czech Republic

    Hana Tomášková

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  1. Pavel Komínek
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  2. Stanislav Červenka
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  3. Karol Zeleník
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  4. Tomáš Pniak
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  6. Petr Matoušek
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Correspondence to Pavel Komínek.

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Komínek, P., Červenka, S., Zeleník, K. et al. Lacrimal sac dacryolith (76 cases): a predictive factor for successful endonasal dacryocystorhinostomy?. Eur Arch Otorhinolaryngol 271, 1595–1599 (2014). https://doi.org/10.1007/s00405-013-2787-3

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  • DOI: https://doi.org/10.1007/s00405-013-2787-3

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