Entire lacrimal sac within the ethmoid sinus: outcomes of powered endoscopic dacryocystorhinostomy

Mohammad Javed Ali, Swati Singh, Milind N NaikInstitute of Dacryology, LV Prasad Eye Institute, Hyderabad, India Background: The aim of this study was to report the outcomes of powered endoscopic dacryocystorhinostomy (PEnDCR) in patients with lacrimal sac within the sinus.Materials and methods: Ret...

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Autores principales:	Ali MJ, Singh S, Naik MN
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2016
Materias:	Lacrimal sac Ethmoid sinus Endoscopic DCR Ethmoids Ophthalmology RE1-994
Acceso en línea:	https://doaj.org/article/2a362c2b377a4f8386a80b741c0595f2
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spelling	oai:doaj.org-article:2a362c2b377a4f8386a80b741c0595f22021-12-02T02:44:17ZEntire lacrimal sac within the ethmoid sinus: outcomes of powered endoscopic dacryocystorhinostomy1177-5483https://doaj.org/article/2a362c2b377a4f8386a80b741c0595f22016-07-01T00:00:00Zhttps://www.dovepress.com/entire-lacrimal-sac-within-the-ethmoid-sinus-outcomes-of-powered-endos-peer-reviewed-article-OPTHhttps://doaj.org/toc/1177-5483Mohammad Javed Ali, Swati Singh, Milind N NaikInstitute of Dacryology, LV Prasad Eye Institute, Hyderabad, India Background: The aim of this study was to report the outcomes of powered endoscopic dacryocystorhinostomy (PEnDCR) in patients with lacrimal sac within the sinus.Materials and methods: Retrospective analysis was performed on all patients who underwent PEnDCR and were intraoperatively documented to have complete lacrimal sac in sinus. Data collected included demographics, clinical presentations, associated lacrimal and nasal anomalies, intraoperative findings, intraoperative guidance, complications, postoperative ostium behavior, and anatomical and functional success. A minimum follow-up of 6 months postsurgery was considered for final analysis.Results: A total of 17 eyes of 15 patients underwent PEnDCR using standard protocols, but with additional intraoperative guidance where required and careful maneuvering in the ethmoid sinus. The mean age of the patients was 37.2 (range 17–60) years. Of the unilateral cases, 69% (nine of 13) showed left-side predisposition; 80% of patients showed regurgitation on pressure over the lacrimal sac area. Associated lacrimal and nasal anomalies were observed in 13.3% (two of 15) and 40% (six of 15), respectively. At a mean follow-up of 6.6 months, anatomical and functional success were observed in 93.3% (14 of 15). One patient showed failure secondary to cicatricial closure of the ostium.Conclusion: An entire sac within an ethmoid sinus poses a surgical challenge. Good sinus-surgery training, thorough knowledge of endoscopic anatomy, careful maneuvering, and use of intraoperative navigation guidance result in good outcomes with PEnDCR.Keywords: lacrimal sac, ethmoid sinus, endoscopic, DCRAli MJSingh SNaik MNDove Medical PressarticleLacrimal sacEthmoid sinusEndoscopic DCREthmoidsOphthalmologyRE1-994ENClinical Ophthalmology, Vol 2016, Iss Issue 1, Pp 1199-1203 (2016)
institution	DOAJ
collection	DOAJ
language	EN
topic	Lacrimal sac Ethmoid sinus Endoscopic DCR Ethmoids Ophthalmology RE1-994
spellingShingle	Lacrimal sac Ethmoid sinus Endoscopic DCR Ethmoids Ophthalmology RE1-994 Ali MJ Singh S Naik MN Entire lacrimal sac within the ethmoid sinus: outcomes of powered endoscopic dacryocystorhinostomy
description	Mohammad Javed Ali, Swati Singh, Milind N NaikInstitute of Dacryology, LV Prasad Eye Institute, Hyderabad, India Background: The aim of this study was to report the outcomes of powered endoscopic dacryocystorhinostomy (PEnDCR) in patients with lacrimal sac within the sinus.Materials and methods: Retrospective analysis was performed on all patients who underwent PEnDCR and were intraoperatively documented to have complete lacrimal sac in sinus. Data collected included demographics, clinical presentations, associated lacrimal and nasal anomalies, intraoperative findings, intraoperative guidance, complications, postoperative ostium behavior, and anatomical and functional success. A minimum follow-up of 6 months postsurgery was considered for final analysis.Results: A total of 17 eyes of 15 patients underwent PEnDCR using standard protocols, but with additional intraoperative guidance where required and careful maneuvering in the ethmoid sinus. The mean age of the patients was 37.2 (range 17–60) years. Of the unilateral cases, 69% (nine of 13) showed left-side predisposition; 80% of patients showed regurgitation on pressure over the lacrimal sac area. Associated lacrimal and nasal anomalies were observed in 13.3% (two of 15) and 40% (six of 15), respectively. At a mean follow-up of 6.6 months, anatomical and functional success were observed in 93.3% (14 of 15). One patient showed failure secondary to cicatricial closure of the ostium.Conclusion: An entire sac within an ethmoid sinus poses a surgical challenge. Good sinus-surgery training, thorough knowledge of endoscopic anatomy, careful maneuvering, and use of intraoperative navigation guidance result in good outcomes with PEnDCR.Keywords: lacrimal sac, ethmoid sinus, endoscopic, DCR
format	article
author	Ali MJ Singh S Naik MN
author_facet	Ali MJ Singh S Naik MN
author_sort	Ali MJ
title	Entire lacrimal sac within the ethmoid sinus: outcomes of powered endoscopic dacryocystorhinostomy
title_short	Entire lacrimal sac within the ethmoid sinus: outcomes of powered endoscopic dacryocystorhinostomy
title_full	Entire lacrimal sac within the ethmoid sinus: outcomes of powered endoscopic dacryocystorhinostomy
title_fullStr	Entire lacrimal sac within the ethmoid sinus: outcomes of powered endoscopic dacryocystorhinostomy
title_full_unstemmed	Entire lacrimal sac within the ethmoid sinus: outcomes of powered endoscopic dacryocystorhinostomy
title_sort	entire lacrimal sac within the ethmoid sinus: outcomes of powered endoscopic dacryocystorhinostomy
publisher	Dove Medical Press
publishDate	2016
url	https://doaj.org/article/2a362c2b377a4f8386a80b741c0595f2
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Entire lacrimal sac within the ethmoid sinus: outcomes of powered endoscopic dacryocystorhinostomy

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