Efficacy of powered endoscopic dacryocystorhinostomy in treatment of nasolacrimal duct obstruction
Background and Objectives: To evaluate the success rate of the therapeutic effectiveness and safety of endoscopic dacryocystorhinostomy to treat obstruction of the lacrimal pathway. Methods: The study involved prospective randomized case series. Operative and postoperative data were prospectivel...
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Kurdistan Higher Council Of Medical Specialties
2022-06-01
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| Series: | Advanced Medical Journal |
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| Online Access: | https://amj.khcms.edu.krd/index.php/main/article/view/16 |
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| author | Muhammad Sherwani |
| author_facet | Muhammad Sherwani |
| author_sort | Muhammad Sherwani |
| collection | DOAJ |
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Background and Objectives: To evaluate the success rate of the therapeutic effectiveness and safety of endoscopic dacryocystorhinostomy to treat obstruction of the lacrimal pathway.
Methods: The study involved prospective randomized case series. Operative and postoperative data were prospectively collected on 114 patients (120 eyes) who presented to Rizgary Teaching Hospital (Erbil city – Iraq) with epiphora and obstruction of the nasolacrimal system, from February 2013 until October 2017. All patients consecutively underwent endoscopic dacryocystorhinostomy. The follow-up evaluation included system evaluation and endoscopic assessment of the newly created ostium; the follow-up was done at 1 week, 1 month, and 3 months postoperatively, and results were compared between the different groups.
Results: A total of 120 cases of endoscopic dacryocystorhinostomy were performed on 114 patients. Procedure success rate was around 95.8%using a powered drill and endoscopic system with minimum complication. The age group of 25-44 years (45.8%) is the higher percentage and the female gender accounts for 83.3%. No complications were recorded in78.3% of the patients, while 10% had developed granulation tissue at the fistula site. Only 5%of the cases suffered from synechia and 5.7%were miscellaneous complications. No statistically significant differences were found between the surgery and age, gender, or side of the operation.
Conclusion: Powered endoscopic dacryocystorhinostomy is the most suitable treatment for patients at the level of the sac or in the nasolacrimal duct obstruction.
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| format | Article |
| id | doaj-art-3244855d2acd469381e7f9d74f277d39 |
| institution | OA Journals |
| issn | 2958-8979 2957-3580 |
| language | English |
| publishDate | 2022-06-01 |
| publisher | Kurdistan Higher Council Of Medical Specialties |
| record_format | Article |
| series | Advanced Medical Journal |
| spelling | doaj-art-3244855d2acd469381e7f9d74f277d392025-08-20T02:11:47ZengKurdistan Higher Council Of Medical SpecialtiesAdvanced Medical Journal2958-89792957-35802022-06-016210.56056/amj.2022.13516 Efficacy of powered endoscopic dacryocystorhinostomy in treatment of nasolacrimal duct obstructionMuhammad Sherwani0 M.B.Ch.B. FICMS senior ENT Specialist, Rizgary teaching hospital Background and Objectives: To evaluate the success rate of the therapeutic effectiveness and safety of endoscopic dacryocystorhinostomy to treat obstruction of the lacrimal pathway. Methods: The study involved prospective randomized case series. Operative and postoperative data were prospectively collected on 114 patients (120 eyes) who presented to Rizgary Teaching Hospital (Erbil city – Iraq) with epiphora and obstruction of the nasolacrimal system, from February 2013 until October 2017. All patients consecutively underwent endoscopic dacryocystorhinostomy. The follow-up evaluation included system evaluation and endoscopic assessment of the newly created ostium; the follow-up was done at 1 week, 1 month, and 3 months postoperatively, and results were compared between the different groups. Results: A total of 120 cases of endoscopic dacryocystorhinostomy were performed on 114 patients. Procedure success rate was around 95.8%using a powered drill and endoscopic system with minimum complication. The age group of 25-44 years (45.8%) is the higher percentage and the female gender accounts for 83.3%. No complications were recorded in78.3% of the patients, while 10% had developed granulation tissue at the fistula site. Only 5%of the cases suffered from synechia and 5.7%were miscellaneous complications. No statistically significant differences were found between the surgery and age, gender, or side of the operation. Conclusion: Powered endoscopic dacryocystorhinostomy is the most suitable treatment for patients at the level of the sac or in the nasolacrimal duct obstruction. https://amj.khcms.edu.krd/index.php/main/article/view/16EndoscopicNasolacrimal duct obstructionDacryocystorhinostomyNose |
| spellingShingle | Muhammad Sherwani Efficacy of powered endoscopic dacryocystorhinostomy in treatment of nasolacrimal duct obstruction Advanced Medical Journal Endoscopic Nasolacrimal duct obstruction Dacryocystorhinostomy Nose |
| title | Efficacy of powered endoscopic dacryocystorhinostomy in treatment of nasolacrimal duct obstruction |
| title_full | Efficacy of powered endoscopic dacryocystorhinostomy in treatment of nasolacrimal duct obstruction |
| title_fullStr | Efficacy of powered endoscopic dacryocystorhinostomy in treatment of nasolacrimal duct obstruction |
| title_full_unstemmed | Efficacy of powered endoscopic dacryocystorhinostomy in treatment of nasolacrimal duct obstruction |
| title_short | Efficacy of powered endoscopic dacryocystorhinostomy in treatment of nasolacrimal duct obstruction |
| title_sort | efficacy of powered endoscopic dacryocystorhinostomy in treatment of nasolacrimal duct obstruction |
| topic | Endoscopic Nasolacrimal duct obstruction Dacryocystorhinostomy Nose |
| url | https://amj.khcms.edu.krd/index.php/main/article/view/16 |
| work_keys_str_mv | AT muhammadsherwani efficacyofpoweredendoscopicdacryocystorhinostomyintreatmentofnasolacrimalductobstruction |