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VOLUME 10 , ISSUE 1 ( January-April, 2018 ) > List of Articles

ORIGINAL ARTICLE

Comparison of Surgical Outcome in Endoscopic Dacryocystorhinostomy with and without Silicone Stent Placement: Comparative Case Analysis

Nariender K Mohindroo, Rajeev Gupta, Devraj Sharma

Keywords : Dacryocystitis, Endoscopic dacryocystorhinostomy, Epiphora.

Citation Information : Mohindroo NK, Gupta R, Sharma D. Comparison of Surgical Outcome in Endoscopic Dacryocystorhinostomy with and without Silicone Stent Placement: Comparative Case Analysis. Int J Otorhinolaryngol Clin 2018; 10 (1):13-16.

DOI: 10.5005/jp-journals-10003-1282

License: CC BY-NC 3.0

Published Online: 01-06-2018

Copyright Statement:  Copyright © 2018; The Author(s).


Abstract

Objective: The purpose of this study was to compare the longterm surgical outcome in endonasal dacryocystorhinostomy (DCR) with and without silicon stent placement. Materials and methods: A prospective comparative analysis of 66 patients who underwent primary endoscopic DCR with stenting (group I), revision endoscopic DCR with stenting (group II), and primary endoscopic DCR without stenting (group III) was done. Success was evaluated in the form of subjective and objective analysis with 6 months follow-up. Results: Out of the 66 patients, 34 underwent silicon stent placement (group I), 5 patients in revision underwent endoscopic DCR with stenting (group II) as against 27 patients in whom DCR was done without stenting (group III). Out of 34 patients of group I, 32 (94.12%) showed complete recovery of symptoms, all 5 patients of group II (100%) and 22 patients in group III (84.48%) out of 27 showed complete recovery of symptoms at 6 months follow-up. Patients with stent placements showed a slightly higher rate of success as compared with patients without stenting (94.12%/100%/84.48%). There was, however, no statistical difference in the success rate between groups I and III (p = 0.17) and between groups II and III (p = 0.78). Conclusion: Endoscopic DCR with stenting is the preferred treatment of choice in cases of chronic dacryocystitis, with higher success rate, minimal preoperative and postoperative complications. In the present study, advantages of stenting were that there was less hospital stay than without stenting and there was no need of long postoperative lacrimal syringing schedule which is important to maintain the neo-ostium to keep it patent, and without stenting it needed regular syringing for 3 months.

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  1. Jacobs HB. Symptomatic epiphora. Br J Ophthalmol 1959 Jul;43(7):415-434.
  2. Caldwell GW. Two new operations for obstruction of the nasal duct. N Y Med J 1893;57:581-582.
  3. Toti A. Nuovo methodo conservatore di cura radicale delle suppurazioni croniche del sacco lacrimale (Dacriocistorinostomia). Clin Mod Firenze 1904;10:385-387.
  4. McDonogh M, Meiring JH. Endoscopic transnasal dacryocystorhinostomy. J Laryngol Otol 1989 Jun;103(6):585-587.
  5. Allen K, Berlin AJ. Dacryocystorhinostomy failure: association with nasolacrimal silicon intubation. Ophthalmic Surg 1989 Jul;20(7):486-489.
  6. Zolli CL, Shannon GM. Dacryocystorhinostomy: a review of 119 cases. Ophthalmic Surg 1982 Nov;13(11):905-910.
  7. Demirci D, Elner VM. Double silicone tube intubation for the management of partial lacrimal system obstruction. Ophthalmology 2008 Feb;115(2):383-385.
  8. Harugop AS, Mudhol RS, Rekha BK, Maheswaran M. Endonasal dacryocystorhinostomy: a prospective study. Indian J Otolaryngol Head Neck Surg 2008 Dec;60(4):335-340.
  9. Sadiq SA, Ohrlich S, Jones NS, Downes RN. Endonasal laser dacryocystorhinostomy-medium term results. Br J Ophthalmol 1997 Dec;81(12):1089-1092.
  10. Tripathi A, Lesser J, O'Donnel NP, White S. Local anaesthetic endonasal endoscopic laser dacryocystorhinostomy: analysis of patients’ acceptability and various factors affecting the success of this procedure. Eye (Lond) 2002 Mar;16(2):146-149.
  11. Singh M, Jain V, Gupta SC, Singh SP. Intranasal endoscopic DCR (END-DCR) in cases of dacryocystitis. Indian J Otolaryngol Head Neck Surg 2004 Jul;56(3):177-183.
  12. Yung MW, Hardman-Lea S. Endoscopic interior dacryocystorhinostomy. Clin Otolaryngol Allied Sci 1998 Apr;23(2):152-157.
  13. Kakkar V, Chugh JP, Sachdeva S, Sharma N. Endoscopic dacryocystorhinostomy with and without silicone stent: a comparative study. Int J Otorhinolaryngol 2009;9:1.
  14. Wormald PJ. Powered endonasal dacryocystorhinostomy. Laryngoscope 2002 Jan;112(1):69-72.
  15. Mann BS, Wormald PJ. Endoscopic assessment of the dacryocystorhinostomy ostium after endoscopic surgery. Laryngoscope 2006 Jul;116(7):1172-1174.
  16. Cokkeser Y, Evereklioglu C, Er H. Comparative external versus endoscopic dacryocystorhinostomy: results in 115 patients (130 eyes). Otolaryngol Head Neck Surg 2000 Oct;123(4):488-491.
  17. Fayet B, Racy E, Assouline M. Systematic unciformectomy for a standardized endonasal dacryocystorhinostomy. Ophthalmology 2002 Mar;109(3):530-536.
  18. Unlu HH, Toprak B, Aslan A, Guler C. Comparison of surgical outcomes in primary endoscopic dacryocystorhinostomy with and without silicon intubation. Ann Otol Rhinol Laryngol 2002 Aug;111(8):704-709.
  19. Atighechi S, Baradaranfar MH, Karimi G, Jafari R. Antrochoanal polyp: a comparative study of endoscopic endonasal surgery alone and endoscopic endonasal plus mini-Caldwell technique. Eur Arch Otorhinolaryngol 2009 Aug;266(8):1245-1248.
  20. Lee TJ, Huang SF. Endoscopic sinus surgery for antrochoanal polyps in children. Otolaryngol Head Neck Surg 2006 Nov;135(5):688-692.
  21. Mantovani K, Bisanha AA, Demarco RC, Tamashiro E, Martinez R, Anselmo-Lima WT. Maxillary sinuses microbiology from patients with chronic rhinosinusitis. Braz J Otorhinolaryngol 2010 Sep-Oct;76(5):548-551.
  22. Brook I, Gober AE. Recovery of potential pathogens in the nasopharynx of healthy and otitis media-prone children and their smoking and nonsmoking parents. Ann Otol Rhinol Laryngol 2008 Oct;117(10):727-730.
  23. Wu J, Peters BA, Dominianni C, Zhang Y, Pei Z, Yang L, Ma Y, Purdue MP, Jacobs EJ, Gapstur SM, et al. Cigarette smoking and the oral microbiome in a large study of American adults. ISME J 2016 Mar;10(10):2435-2446.
  24. Ertel A, Eng R, Smith SM. The differential effect of cigarette smoke on the growth of bacteria found in humans. Chest 1991 Sep;100(3):628-630.
  25. Reh DD, Higgins TS, Smith TL. Impact of tobacco smoke on chronic rhinosinusitis: a review of the literature. Int Forum Allergy Rhinol 2012 Sep-Oct;2(5):362-369.
  26. Lee KI, Kim DW, Kim EH, Kim JH, Samivel R, Kwon JE, Ahn JC, Chung YJ, Mo JH. Cigarette smoke promotes eosinophilic inflammation, airway remodeling, and nasal polyps in a murine polyp model. Am J Rhinol Allergy 2014 May-Jun;28(3):208-214.
  27. Kumar PS, Matthews CR, Joshi V, de Jager M, Aspiras M. Tobacco smoking affects bacterial acquisition and colonization in oral biofilms. Infect Immun 2011 Nov;79(11): 4730-4738.
  28. Namiot Z, Namiot DB, Kemona A, Gołebiewska M, Bucki R. The effect of cigarette smoking and alcohol consumption on efficacy of Helicobacter pylori eradication. Pol Arch Med Wewn 2000 Sep;104(3):569-574.
  29. Linder JA, Sim I. Antibiotic treatment of acute bronchitis in smokers: a systematic review. J Gen Intern Med 2002 Mar;17(3):230-234.
  30. Lee WK, Ramanathan M Jr, Spannhake EW, Lane AP. The cigarette smoke component acrolein inhibits expression of the innate immune components IL-8 and human betadefensin 2 by sinonasal epithelial cells. Am J Rhinol 2007 Nov-Dec;21(6):658-663.
  31. Kamath PM, Shenoy VS, Mittal N, Sharma NK. Microbiological analysis of paranasal sinuses in chronic sinusitis—a south Indian coastal study. Egypt J Ear Nose Throat All Sci 2013 Nov;14(3):185-189.
  32. Bezerra TF, Pádna FG, Ogawa AI, Gebrim EM, Saldiva PH, Voegels RL. Biofilms in chronic rhinosinusitis with nasal polyps: pilot study. Braz J Otorhinolaryngol 2009 Nov- Dec;75(6):788-793.
  33. Hashemi M, Sadeghi MMM, Omrani MR, Torabi MA. Microbiology and antimicrobial resistance in chronic resistant rhino sinusitis with or without polyp after functional endoscopic sinus surgery. J Res Med Sci 2005;10(3):167-171.
  34. Farahani F, Youse Mashouf R, Hashemian F, Esmaeili R. Antimicrobial resistance patterns of aerobic organisms in patients with chronic rhinosinusitis in Hamadan, Iran. Avicenna J Clin Microb Infec 2014 Aug;1(2):e18961..
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