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Multi-Detector CT Instillation Dacryocystography and Its Role in the Diagnosis of Lacrimal Drainage System Blocks

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Indian Journal of Otolaryngology and Head & Neck Surgery Aims and scope Submit manuscript

Abstract

To assess the use of Multi-detector computed tomography instillation dacryocystography (MDCT-DCG) and its role in the diagnosis of lacrimal drainage system (LDS) blocks. It is a prospective evaluation of Twenty-five cases presenting with symptoms with NLDO (nasolacrimal duct obstruction) assessed by MDCT-DCG. The study was conducted in LN medical college and JK hospital Bhopal (M.P) territory centre between January 2016 and January 2017. Various levels of LDS obstruction were detected, Lower canaliculus 12% common canaliculus in 20% patients, lacrimal sac in 12% junction between lacrimal sac and NLD in 40% and NLD obstruction in 16% patients. The most common CTDCG findings were dilated opacified lacrimal sac with no opacification of the nasolacrimal duct (NLD) in 40% patients. CTDCG is a non-invasive, quick, patient friendly, indispensable in the assessment of NLDO procedure that adds benefit in documentation and preoperative planning.

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References

  1. Russell Eric J, Czervionke L, Huckman M, Daniels D, McLachlan D (1985) CT of the inferomedial orbit and the lacrimal drainage apparatus: normal and pathologic anatomy. AJR Am J Roentgenol 145:1147–1154

    Article  Google Scholar 

  2. Munk PL, Lin DTC, Morris DC (1990) Epiphora: treatment by means of dacryocystoplasty with balloon dilation of the nasolacrimal drain-age apparatus. Radiology 177:687–690

    Article  CAS  Google Scholar 

  3. Watkins LM, Janfaza P, Rubin PAD (2003) The evolution of endonasal dacryocystorhinostomy. Surv Ophthalmol 48:73–84

    Article  Google Scholar 

  4. Linberg J, McCormick SA (1986) Primary acquired nasolacrimal duct obstruction. A clinicopathologic report and biopsy technique. Ophthalmology 93(8):1055–1063

    Article  CAS  Google Scholar 

  5. Bartley G (1992) Acquired lacrimal drainage obstruction: an etiologic classification system, case reports, and a review of the literature. Part 1, 2 and 3. Ophthal Plast Reconstr Surg 8(4):237–249

    Article  CAS  Google Scholar 

  6. Bartley G (1993) Acquired lacrimal drainage obstruction: an etiologic classification system, case reports, and a review of the literature. Part 3. Ophthal Plast Reconstr Surg 9(1):11–26

    Article  CAS  Google Scholar 

  7. Amin M, Moseley IF, Rose GE (2000) The value of intubation dacryocystography after dacryocystorhinostomy. Br J Radiol 73(870):604–607

    Article  CAS  Google Scholar 

  8. Ewing AE (1909) Roentgen ray demonstrations of the lacrimal abscess cavity. Am J Ophthalmol 24(1–4):9

    Google Scholar 

  9. Freitag SK, Woog JJ, Kousoubris PD, Curtin HD (2002) Helical computed tomographic dacryocystography with three-dimensional reconstruction: a new view of the lacrimal drainage system. Ophthal Plast Reconstr Surg 18(2):121–132

    Article  Google Scholar 

  10. Hurwitz JJ, Edward Kassel EE, Jaffer N (1996) The Lacrimal System. In: Hurwitz JJ (ed) Computed tomography and combined CT-dacryocystography (CT-DCG). Raven Press, New York, pp 83–85

    Google Scholar 

  11. Ashenhurst M, Jaffer N, Hurwitz JJ, Corin SM (1991) Combined computed tomography and dacryocystography for complex lacrimal problems. Can J Ophthalmol 26(1):27–31

    CAS  PubMed  Google Scholar 

  12. Caldemeyer KS, Stockberger SM, Broderick LS (1998) Topical contrast-enhanced CT and MR dacryocystography: Imaging the lacrimal drainage apparatus of healthy volunteers. AJR Am J Roentgenol 171(6):1501–1504

    Article  CAS  Google Scholar 

  13. Kalra MK, Maher MM, D’Souza R, Saini S (2004) Multidetector computed tomography technology: current status and emerging developments. J Comput Assist Tomogr 28(1):S2–S6

    Article  Google Scholar 

  14. Manfre L, de Maria M, Todaro E, Mangiameli A, Ponte F, Lagalla R (2000) MR dacryocystography: comparison with dacryocystography and CT dacryocystography. Am J Neuroradiol 21:1145–1150

    CAS  PubMed  PubMed Central  Google Scholar 

  15. Udhay P, Noronha OV, Mohan RE (2008) Helical computed tomographic dacryocystography and its role in the diagnosis and management of lacrimal drainage system blocks and medial canthal masses. Indian J Ophthalmol 56(1):31–37

    Article  Google Scholar 

  16. Moran L, Catherine C, Buckwalter K, Caldemeyen KS, Smith RR (1995) Helical CT with topical water-soluble contrast media for imaging of the lacrimal drainage apparatus. AJR Am J Roentgenol 164:995–996

    Article  CAS  Google Scholar 

  17. Waite DW, Whittet HB, Shun-Shin GA (1993) Technical note: computed tomographic dacryocystography. Br J Radiol 66(788):711–713

    Article  CAS  Google Scholar 

  18. Kapadia M, Freitag S, Woog J (2006) Evaluation and management of congenital nasolacrimal duct obstruction. Otolaryngol Clin North Am 39(5):959–977

    Article  Google Scholar 

  19. Zinreich SJ, Miller NR, Freeman LE (1990) Computed tomographic dacryocystography using topical contrast media for lacrimal system visualization. Orbit 9:19–22

    Article  Google Scholar 

  20. Steinkogler F (1986) The postsaccal, idiopathic dacryostenosis: experimental and clinical aspects. Doc Ophthalmol 63(3):265–286

    Article  CAS  Google Scholar 

  21. Shigeta K, Takegoshi H, Kikuchi S (2007) Sex and age differences in the bony nasolacrimal canal an anatomical Study. Arch Ophthalmol 125(12):1677–1681

    Article  Google Scholar 

  22. Janssen A, Mansour K, Bos J, Castelijns J (2001) Diameter of the bony lacrimal canal: normal values and values related to nasolacrimal duct obstruction: assessment with CT. AJNR Am J Neuroradiol 22(5):845–850

    CAS  PubMed  PubMed Central  Google Scholar 

  23. Chandler DL, Bremer DL, Collins ML, Lee DH (2009) Repeat probing for treatment of persistent nasolacrimal duct obstruction. JAAPOS 13(3):306–307

    Google Scholar 

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Funding

This study is not funded by any source and conducted in ENT department of LN medical college, Bhopal MP.

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Authors and Affiliations

  1. Atal Bihari Vajpayee Govt Medical College, Vidisha, Madhya Pradesh, India

    Nikhila Yadav, Shivkumar Raghuwanshi & Sapna Raghuwanshi

  2. Peoples College of Medical Sciences and Research center, Bhopal, Madhya Pradesh, India

    Sameer Raghuwanshi

Authors
  1. Sameer Raghuwanshi
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  2. Nikhila Yadav
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  3. Shivkumar Raghuwanshi
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  4. Sapna Raghuwanshi
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Correspondence to Sapna Raghuwanshi.

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All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.

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Informed consent was obtained from all individual participants included in the study.

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Raghuwanshi, S., Yadav, N., Raghuwanshi, S. et al. Multi-Detector CT Instillation Dacryocystography and Its Role in the Diagnosis of Lacrimal Drainage System Blocks. Indian J Otolaryngol Head Neck Surg 73, 474–479 (2021). https://doi.org/10.1007/s12070-021-02447-6

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  • DOI: https://doi.org/10.1007/s12070-021-02447-6

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